Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.69 / $35.69 / $138.12	Facility		$35.69	$35.69	$138.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.94 / $41.76 / $78.23	Professional		$33.94	$41.76	$78.23
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 $66.03 / $86.72 / $86.72	Professional		$66.03	$86.72	$86.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.02 / $56.02 / $86.72	Facility		$56.02	$56.02	$86.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.89 / $40.89 / $103.13	Professional		$40.89	$40.89	$103.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $79.78 / $86.72 / $164.77	Professional		$79.78	$86.72	$164.77
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.09 / $16.09 / $104.01	Facility		$16.09	$16.09	$104.01
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.57 / $58.57 / $65.04	Professional		$58.57	$58.57	$65.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $35.69 / $35.69 / $138.12	Facility		$35.69	$35.69	$138.12
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $33.94 / $44.14 / $138.76	Professional		$33.94	$44.14	$138.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $43.60 / $170.80	Professional		$33.20	$43.60	$170.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $56.02 / $56.02 / $86.72	Facility		$56.02	$56.02	$86.72
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $40.89 / $40.89 / $104.16	Professional		$40.89	$40.89	$104.16
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $62.01 / $82.54 / $82.54	Facility		$62.01	$82.54	$82.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $62.01 / $82.54 / $84.59	Professional		$62.01	$82.54	$84.59
United Facility/Professional Professional Modifier Low / Median / High Price $35.79 / $43.27 / $78.23	Professional		$35.79	$43.27	$78.23