Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.67 / $31.67 / $122.56	Facility		$31.67	$31.67	$122.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $36.39 / $51.48	Professional		$31.50	$36.39	$51.48
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 $58.60 / $76.95 / $76.95	Professional		$58.60	$76.95	$76.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.54 / $54.54 / $81.95	Facility		$54.54	$54.54	$81.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $71.76	Professional		$39.81	$39.81	$71.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $75.39 / $81.95 / $155.71	Professional		$75.39	$81.95	$155.71
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.96 / $51.96 / $51.96	Professional		$51.96	$51.96	$51.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $31.67 / $31.67 / $122.56	Facility		$31.67	$31.67	$122.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $36.39 / $65.56	Professional		$31.50	$36.39	$65.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $116.80 / $161.50	Professional		$101.60	$116.80	$161.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $54.54 / $54.54 / $81.95	Facility		$54.54	$54.54	$81.95
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $103.13	Professional		$39.81	$39.81	$103.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $55.02 / $73.25 / $73.25	Facility		$55.02	$73.25	$73.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $55.02 / $73.25 / $84.64	Professional		$55.02	$73.25	$84.64
United Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $39.42 / $69.40	Professional		$31.50	$39.42	$69.40