Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.28 / $59.28 / $229.41	Facility		$59.28	$59.28	$229.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.95 / $69.37 / $82.50	Professional		$58.95	$69.37	$82.50
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 $109.68 / $144.04 / $144.04	Professional		$109.68	$144.04	$144.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.71 / $83.71 / $144.04	Facility		$83.71	$83.71	$144.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.11 / $61.11 / $126.13	Professional		$61.11	$61.11	$126.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $132.52 / $144.04 / $273.68	Professional		$132.52	$144.04	$273.68
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $336.37 / $336.37 / $336.37	Facility		$336.37	$336.37	$336.37
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.27 / $108.03 / $108.03	Professional		$97.27	$108.03	$108.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $59.28 / $59.28 / $229.41	Facility		$59.28	$59.28	$229.41
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $58.95 / $69.37 / $82.50	Professional		$58.95	$69.37	$82.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $233.30 / $283.80 / $283.80	Professional		$233.30	$283.80	$283.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $83.71 / $83.71 / $144.04	Facility		$83.71	$83.71	$144.04
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $61.11 / $61.11 / $171.00	Professional		$61.11	$61.11	$171.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $104.85 / $137.10 / $137.10	Facility		$104.85	$137.10	$137.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $104.85 / $137.10 / $140.44	Professional		$104.85	$137.10	$140.44
United Facility/Professional Facility Modifier Low / Median / High Price $51.71 / $65.33 / $77.56	Facility		$51.71	$65.33	$77.56
United Facility/Professional Professional Modifier Low / Median / High Price $56.88 / $73.28 / $119.77	Professional		$56.88	$73.28	$119.77