Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $62.10 / $240.33	Facility		$62.10	$62.10	$240.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.05 / $72.67 / $99.69	Professional		$59.05	$72.67	$99.69
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 $114.90 / $150.90 / $150.90	Professional		$114.90	$150.90	$150.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.79 / $97.79 / $150.90	Facility		$97.79	$97.79	$150.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.39 / $71.39 / $132.13	Professional		$71.39	$71.39	$132.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $138.83 / $150.90 / $286.70	Professional		$138.83	$150.90	$286.70
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.90 / $101.90 / $113.18	Professional		$101.90	$101.90	$113.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $62.10 / $240.33	Facility		$62.10	$62.10	$240.33
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $59.05 / $72.67 / $108.30	Professional		$59.05	$72.67	$108.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $102.20 / $205.80 / $297.30	Professional		$102.20	$205.80	$297.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $97.79 / $97.79 / $150.90	Facility		$97.79	$97.79	$150.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $71.39 / $71.39 / $205.13	Professional		$71.39	$71.39	$205.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $107.89 / $143.63 / $143.63	Facility		$107.89	$143.63	$143.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $107.89 / $143.63 / $168.51	Professional		$107.89	$143.63	$168.51
United Facility/Professional Facility Modifier Low / Median / High Price $58.01 / $74.61 / $87.01	Facility		$58.01	$74.61	$87.01
United Facility/Professional Professional Modifier Low / Median / High Price $63.81 / $75.28 / $136.08	Professional		$63.81	$75.28	$136.08