Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.30 / $77.30 / $299.14	Facility		$77.30	$77.30	$299.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.90 / $85.52 / $103.88	Professional		$60.90	$85.52	$103.88
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 $143.02 / $187.82 / $187.82	Professional		$143.02	$187.82	$187.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.42 / $107.42 / $187.82	Facility		$107.42	$107.42	$187.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.42 / $78.42 / $164.46	Professional		$78.42	$78.42	$164.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $172.79 / $187.82 / $356.86	Professional		$172.79	$187.82	$356.86
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $868.07 / $868.07 / $868.07	Facility		$868.07	$868.07	$868.07
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.83 / $131.47 / $152.35	Professional		$126.83	$131.47	$152.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $77.30 / $77.30 / $299.14	Facility		$77.30	$77.30	$299.14
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $57.02 / $85.52 / $153.76	Professional		$57.02	$85.52	$153.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $224.03 / $267.80 / $370.00	Professional		$224.03	$267.80	$370.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $107.42 / $107.42 / $187.82	Facility		$107.42	$107.42	$187.82
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $78.42 / $78.42 / $223.13	Professional		$78.42	$78.42	$223.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $129.87 / $178.77 / $178.77	Facility		$129.87	$178.77	$178.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $129.87 / $178.77 / $183.19	Professional		$129.87	$178.77	$183.19
United Facility/Professional Facility Modifier Low / Median / High Price $66.08 / $85.00 / $99.11	Facility		$66.08	$85.00	$99.11
United Facility/Professional Professional Modifier Low / Median / High Price $71.47 / $93.70 / $169.37	Professional		$71.47	$93.70	$169.37