Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.08 / $57.08 / $220.90	Facility		$57.08	$57.08	$220.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.28 / $63.15 / $87.77	Professional		$54.28	$63.15	$87.77
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 $105.61 / $138.69 / $138.69	Professional		$105.61	$138.69	$138.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.66 / $86.66 / $138.69	Facility		$86.66	$86.66	$138.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $63.26 / $121.45	Professional		$63.26	$63.26	$121.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $127.60 / $138.69 / $263.52	Professional		$127.60	$138.69	$263.52
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.65 / $93.65 / $93.65	Professional		$93.65	$93.65	$93.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $57.08 / $57.08 / $220.90	Facility		$57.08	$57.08	$220.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $54.28 / $65.58 / $105.61	Professional		$54.28	$65.58	$105.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $189.20 / $273.30	Professional		$94.00	$189.20	$273.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $86.66 / $86.66 / $138.69	Facility		$86.66	$86.66	$138.69
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $63.26 / $180.38	Professional		$63.26	$63.26	$180.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $99.16 / $132.01 / $132.01	Facility		$99.16	$132.01	$132.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $99.16 / $132.01 / $148.00	Professional		$99.16	$132.01	$148.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $69.48 / $121.18	Professional		$57.66	$69.48	$121.18