Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.38 / $31.38 / $121.44	Facility		$31.38	$31.38	$121.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.25 / $36.06 / $50.60	Professional		$31.25	$36.06	$50.60
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 $58.06 / $76.25 / $76.25	Professional		$58.06	$76.25	$76.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.11 / $54.11 / $91.78	Facility		$54.11	$54.11	$91.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $39.50 / $80.37	Professional		$39.50	$39.50	$80.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $84.44 / $91.78 / $174.38	Professional		$84.44	$91.78	$174.38
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.38 / $53.38 / $57.19	Professional		$53.38	$53.38	$57.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $31.38 / $31.38 / $121.44	Facility		$31.38	$31.38	$121.44
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $31.25 / $36.71 / $286.82	Professional		$31.25	$36.71	$286.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $62.10 / $180.80	Professional		$35.29	$62.10	$180.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $54.11 / $54.11 / $91.78	Facility		$54.11	$54.11	$91.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $39.50 / $88.50	Professional		$39.50	$39.50	$88.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $54.52 / $72.56 / $72.56	Facility		$54.52	$72.56	$72.56
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $54.52 / $72.56 / $87.36	Professional		$54.52	$72.56	$87.36
United Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $48.00 / $48.00	Facility		$48.00	$48.00	$48.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.88 / $38.10 / $63.40	Professional		$31.88	$38.10	$63.40