Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.57 / $35.57 / $137.66	Facility		$35.57	$35.57	$137.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.83 / $39.36 / $61.90	Professional		$33.83	$39.36	$61.90
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 $65.81 / $86.44 / $86.44	Professional		$65.81	$86.44	$86.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.02 / $54.02 / $86.44	Facility		$54.02	$54.02	$86.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $39.43 / $133.50	Professional		$39.43	$39.43	$133.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $79.52 / $86.44 / $164.24	Professional		$79.52	$86.44	$164.24
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.37 / $58.37 / $58.37	Professional		$58.37	$58.37	$58.37
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $35.57 / $35.57 / $137.66	Facility		$35.57	$35.57	$137.66
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $29.43 / $40.86 / $69.15	Professional		$29.43	$40.86	$69.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.50 / $117.90 / $170.30	Professional		$58.50	$117.90	$170.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $54.02 / $54.02 / $86.44	Facility		$54.02	$54.02	$86.44
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $39.43 / $133.50	Professional		$39.43	$39.43	$133.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $61.81 / $82.28 / $82.28	Facility		$61.81	$82.28	$82.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $61.81 / $82.28 / $109.70	Professional		$61.81	$82.28	$109.70
United Facility/Professional Facility Modifier Low / Median / High Price $97.97 / $115.26 / $138.31	Facility		$97.97	$115.26	$138.31
United Facility/Professional Professional Modifier Low / Median / High Price $36.14 / $43.56 / $77.95	Professional		$36.14	$43.56	$77.95