Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $69.37 / $268.45	Facility		$69.37	$69.37	$268.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.97 / $76.75 / $106.27	Professional		$65.97	$76.75	$106.27
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 $128.35 / $168.56 / $168.56	Professional		$128.35	$168.56	$168.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.46 / $116.46 / $168.56	Facility		$116.46	$116.46	$168.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.02 / $85.02 / $147.60	Professional		$85.02	$85.02	$147.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $155.08 / $168.56 / $320.26	Professional		$155.08	$168.56	$320.26
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.83 / $113.83 / $126.42	Professional		$113.83	$113.83	$126.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $69.37 / $268.45	Facility		$69.37	$69.37	$268.45
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $65.97 / $81.18 / $486.36	Professional		$65.97	$81.18	$486.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $209.00 / $240.40 / $332.10	Professional		$209.00	$240.40	$332.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $116.46 / $116.46 / $168.56	Facility		$116.46	$116.46	$168.56
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $85.02 / $85.02 / $200.25	Professional		$85.02	$85.02	$200.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $120.52 / $160.44 / $160.44	Facility		$120.52	$160.44	$160.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $120.52 / $160.44 / $164.40	Professional		$120.52	$160.44	$164.40
United Facility/Professional Professional Modifier Low / Median / High Price $64.51 / $84.94 / $152.02	Professional		$64.51	$84.94	$152.02