Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.67 / $74.67 / $175.77	Facility		$74.67	$74.67	$175.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.87 / $82.62 / $142.61	Professional		$56.87	$82.62	$142.61
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $138.16 / $181.44 / $181.44	Professional		$138.16	$181.44	$181.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $117.36 / $167.02	Facility		$117.36	$117.36	$167.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $85.67 / $146.26	Professional		$85.67	$85.67	$146.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $153.66 / $167.02 / $317.33	Professional		$153.66	$167.02	$317.33
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.36 / $168.36 / $168.36	Facility		$168.36	$168.36	$168.36
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.53 / $122.53 / $131.55	Professional		$122.53	$122.53	$131.55
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $74.67 / $165.82 / $288.97	Facility		$74.67	$165.82	$288.97
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $50.06 / $85.80 / $161.04	Professional		$50.06	$85.80	$161.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $113.10 / $329.10	Professional		$67.20	$113.10	$329.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $117.36 / $167.02	Facility		$117.36	$117.36	$167.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $85.67 / $219.38	Professional		$85.67	$85.67	$219.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $129.72 / $172.70 / $172.70	Facility		$129.72	$172.70	$172.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $129.72 / $172.70 / $180.19	Professional		$129.72	$172.70	$180.19
United Facility/Professional Professional Modifier Low / Median / High Price $63.82 / $90.52 / $163.63	Professional		$63.82	$90.52	$163.63