Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.98 / $62.98 / $243.73	Facility		$62.98	$62.98	$243.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.22 / $64.95 / $79.06	Professional		$51.22	$64.95	$79.06
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 $116.54 / $153.05 / $153.05	Professional		$116.54	$153.05	$153.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.88 / $91.88 / $130.87	Facility		$91.88	$91.88	$130.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $67.06 / $163.88	Professional		$67.06	$67.06	$163.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.40 / $130.87 / $248.65	Professional		$120.40	$130.87	$248.65
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.34 / $103.34 / $103.34	Professional		$103.34	$103.34	$103.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $62.98 / $62.98 / $243.73	Facility		$62.98	$62.98	$243.73
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $69.69 / $82.50	Professional		$47.60	$69.69	$82.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $88.60 / $178.50 / $257.80	Professional		$88.60	$178.50	$257.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $91.88 / $91.88 / $130.87	Facility		$91.88	$91.88	$130.87
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $67.06 / $163.88	Professional		$67.06	$67.06	$163.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $109.41 / $145.66 / $145.66	Facility		$109.41	$145.66	$145.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $109.41 / $145.66 / $145.66	Professional		$109.41	$145.66	$145.66
United Facility/Professional Professional Modifier Low / Median / High Price $52.04 / $76.36 / $138.01	Professional		$52.04	$76.36	$138.01