Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $52.00 / $201.24	Facility		$52.00	$52.00	$201.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $60.85 / $81.47	Professional		$51.45	$60.85	$81.47
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 $96.22 / $126.36 / $126.36	Professional		$96.22	$126.36	$126.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.77 / $79.77 / $131.44	Facility		$79.77	$79.77	$131.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.23 / $58.23 / $115.11	Professional		$58.23	$58.23	$115.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.93 / $131.44 / $249.76	Professional		$120.93	$131.44	$249.76
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.31 / $85.31 / $85.31	Professional		$85.31	$85.31	$85.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $52.00 / $201.24	Facility		$52.00	$52.00	$201.24
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $60.85 / $96.22	Professional		$51.45	$60.85	$96.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.20 / $68.59 / $259.00	Professional		$52.20	$68.59	$259.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $79.77 / $79.77 / $131.44	Facility		$79.77	$79.77	$131.44
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $58.23 / $58.23 / $142.88	Professional		$58.23	$58.23	$142.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $90.33 / $120.27 / $120.27	Facility		$90.33	$120.27	$120.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $90.33 / $120.27 / $125.12	Professional		$90.33	$120.27	$125.12
United Facility/Professional Professional Modifier Low / Median / High Price $50.97 / $63.29 / $113.93	Professional		$50.97	$63.29	$113.93