Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.97 / $37.97 / $146.94	Facility		$37.97	$37.97	$146.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $43.62 / $66.94	Professional		$37.76	$43.62	$66.94
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 $70.25 / $92.26 / $92.26	Professional		$70.25	$92.26	$92.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.72 / $62.72 / $104.66	Facility		$62.72	$62.72	$104.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $45.79 / $91.65	Professional		$45.79	$45.79	$91.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $96.29 / $104.66 / $198.85	Professional		$96.29	$104.66	$198.85
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.30 / $64.58 / $69.20	Professional		$62.30	$64.58	$69.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $37.97 / $37.97 / $146.94	Facility		$37.97	$37.97	$146.94
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $37.96 / $44.43 / $147.62	Professional		$37.96	$44.43	$147.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $70.80 / $136.19 / $206.20	Professional		$70.80	$136.19	$206.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $62.72 / $62.72 / $104.66	Facility		$62.72	$62.72	$104.66
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $45.79 / $112.88	Professional		$45.79	$45.79	$112.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $65.95 / $87.81 / $87.81	Facility		$65.95	$87.81	$87.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $87.81 / $99.62	Professional		$65.95	$87.81	$99.62
United Facility/Professional Facility Modifier Low / Median / High Price $104.56 / $123.01 / $147.61	Facility		$104.56	$123.01	$147.61
United Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $46.10 / $76.70	Professional		$36.04	$46.10	$76.70