Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.56 / $43.56 / $168.58	Facility		$43.56	$43.56	$168.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.56 / $50.97 / $68.75	Professional		$43.56	$50.97	$68.75
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 $80.59 / $105.84 / $105.84	Professional		$80.59	$105.84	$105.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.45 / $68.45 / $130.33	Facility		$68.45	$68.45	$130.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.98 / $49.98 / $114.12	Professional		$49.98	$49.98	$114.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $119.90 / $130.33 / $247.63	Professional		$119.90	$130.33	$247.63
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $612.40 / $612.40 / $612.40	Facility		$612.40	$612.40	$612.40
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.47 / $71.47 / $79.38	Professional		$71.47	$71.47	$79.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $43.56 / $43.56 / $168.58	Facility		$43.56	$43.56	$168.58
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $43.56 / $51.00 / $96.33	Professional		$43.56	$51.00	$96.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $88.30 / $169.70 / $256.80	Professional		$88.30	$169.70	$256.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $68.45 / $68.45 / $130.33	Facility		$68.45	$68.45	$130.33
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $49.98 / $49.98 / $122.63	Professional		$49.98	$49.98	$122.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $75.67 / $100.74 / $100.74	Facility		$75.67	$100.74	$100.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.67 / $100.74 / $124.05	Professional		$75.67	$100.74	$124.05
United Facility/Professional Facility Modifier Low / Median / High Price $119.95 / $141.12 / $169.34	Facility		$119.95	$141.12	$169.34
United Facility/Professional Professional Modifier Low / Median / High Price $44.26 / $53.73 / $95.45	Professional		$44.26	$53.73	$95.45