Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.45 / $54.45 / $210.72	Facility		$54.45	$54.45	$210.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.44 / $57.65 / $79.65	Professional		$49.44	$57.65	$79.65
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 $92.84 / $121.93 / $121.93	Professional		$92.84	$121.93	$121.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.19 / $89.19 / $126.34	Facility		$89.19	$89.19	$126.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $65.11 / $110.63	Professional		$65.11	$65.11	$110.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $116.23 / $126.34 / $240.05	Professional		$116.23	$126.34	$240.05
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.33 / $82.33 / $91.45	Professional		$82.33	$82.33	$91.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $54.45 / $54.45 / $210.72	Facility		$54.45	$54.45	$210.72
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $49.43 / $59.79 / $99.10	Professional		$49.43	$59.79	$99.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.50 / $172.30 / $248.90	Professional		$85.50	$172.30	$248.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $89.19 / $89.19 / $126.34	Facility		$89.19	$89.19	$126.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $65.11 / $159.75	Professional		$65.11	$65.11	$159.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $84.32 / $84.32 / $116.05	Facility		$84.32	$84.32	$116.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $84.32 / $116.05 / $120.25	Professional		$84.32	$116.05	$120.25
United Facility/Professional Professional Modifier Low / Median / High Price $56.94 / $71.93 / $109.96	Professional		$56.94	$71.93	$109.96