Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.54 / $72.54 / $280.73	Facility		$72.54	$72.54	$280.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.98 / $83.35 / $114.23	Professional		$68.98	$83.35	$114.23
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 $134.22 / $176.27 / $176.27	Professional		$134.22	$176.27	$176.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.15 / $110.15 / $176.27	Facility		$110.15	$110.15	$176.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.41 / $80.41 / $154.35	Professional		$80.41	$80.41	$154.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $162.16 / $176.27 / $334.91	Professional		$162.16	$176.27	$334.91
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.03 / $119.03 / $119.03	Professional		$119.03	$119.03	$119.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $72.54 / $72.54 / $280.73	Facility		$72.54	$72.54	$280.73
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $68.98 / $84.89 / $164.87	Professional		$68.98	$84.89	$164.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $119.40 / $240.40 / $347.30	Professional		$119.40	$240.40	$347.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $110.15 / $110.15 / $176.27	Facility		$110.15	$110.15	$176.27
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $80.41 / $80.41 / $204.38	Professional		$80.41	$80.41	$204.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $126.02 / $167.78 / $167.78	Facility		$126.02	$167.78	$167.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $126.02 / $167.78 / $167.78	Professional		$126.02	$167.78	$167.78
United Facility/Professional Professional Modifier Low / Median / High Price $74.53 / $88.31 / $158.94	Professional		$74.53	$88.31	$158.94