Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.60 / $54.60 / $211.30	Facility		$54.60	$54.60	$211.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.92 / $62.74 / $86.99	Professional		$51.92	$62.74	$86.99
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 $101.02 / $132.68 / $132.68	Professional		$101.02	$132.68	$132.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.22 / $106.22 / $132.68	Facility		$106.22	$106.22	$132.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $77.54 / $116.18	Professional		$77.54	$77.54	$116.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $122.07 / $132.68 / $252.09	Professional		$122.07	$132.68	$252.09
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.59 / $89.59 / $94.55	Professional		$89.59	$89.59	$94.55
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $54.60 / $54.60 / $211.30	Facility		$54.60	$54.60	$211.30
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $51.92 / $63.90 / $202.05	Professional		$51.92	$63.90	$202.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.20 / $172.70 / $261.39	Professional		$64.20	$172.70	$261.39
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $106.22 / $106.22 / $132.68	Facility		$106.22	$106.22	$132.68
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $77.54 / $187.88	Professional		$77.54	$77.54	$187.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $94.86 / $126.28 / $126.28	Facility		$94.86	$126.28	$126.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $94.86 / $126.28 / $154.16	Professional		$94.86	$126.28	$154.16
United Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $65.59 / $99.61	Facility		$51.00	$65.59	$99.61
United Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $66.19 / $119.64	Professional		$56.10	$66.19	$119.64