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 $29.53 / $41.76 / $52.44	Professional		$29.53	$41.76	$52.44
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 $49.61 / $49.61 / $86.72	Facility		$49.61	$49.61	$86.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $36.22 / $103.13	Professional		$36.22	$36.22	$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 $46.21 / $46.21 / $202.53	Facility		$46.21	$46.21	$202.53
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.57 / $59.64 / $65.04	Professional		$58.57	$59.64	$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 $26.33 / $41.76 / $78.23	Professional		$26.33	$41.76	$78.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $80.80 / $123.70 / $170.80	Professional		$80.80	$123.70	$170.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $49.61 / $49.61 / $86.72	Facility		$49.61	$49.61	$86.72
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $36.22 / $103.13	Professional		$36.22	$36.22	$103.13
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 $32.78 / $43.27 / $78.23	Professional		$32.78	$43.27	$78.23