Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.19 / $42.19 / $163.28	Facility		$42.19	$42.19	$163.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $46.68 / $64.63	Professional		$40.11	$46.68	$64.63
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 $78.06 / $102.52 / $102.52	Professional		$78.06	$102.52	$102.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.95 / $67.95 / $102.52	Facility		$67.95	$67.95	$102.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.61 / $49.61 / $89.77	Professional		$49.61	$49.61	$89.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $94.32 / $102.52 / $194.79	Professional		$94.32	$102.52	$194.79
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.22 / $69.22 / $76.89	Professional		$69.22	$69.22	$76.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $42.19 / $42.19 / $163.28	Facility		$42.19	$42.19	$163.28
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $48.48 / $80.09	Professional		$40.11	$48.48	$80.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $133.50 / $202.00	Professional		$43.00	$133.50	$202.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $67.95 / $67.95 / $102.52	Facility		$67.95	$67.95	$102.52
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $49.61 / $49.61 / $121.88	Professional		$49.61	$49.61	$121.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $73.30 / $97.58 / $97.58	Facility		$73.30	$97.58	$97.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $73.30 / $97.58 / $99.98	Professional		$73.30	$97.58	$99.98
United Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $51.14 / $85.24	Professional		$39.24	$51.14	$85.24