Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.42 / $78.42 / $303.49	Facility		$78.42	$78.42	$303.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.30 / $83.03 / $122.34	Professional		$77.30	$83.03	$122.34
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 $133.71 / $175.60 / $175.60	Professional		$133.71	$175.60	$175.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.00 / $113.00 / $210.32	Facility		$113.00	$113.00	$210.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.49 / $82.49 / $184.17	Professional		$82.49	$82.49	$184.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $193.49 / $210.32 / $399.61	Professional		$193.49	$210.32	$399.61
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.58 / $118.58 / $118.58	Professional		$118.58	$118.58	$118.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $78.42 / $78.42 / $303.49	Facility		$78.42	$78.42	$303.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $76.88 / $83.03 / $130.69	Professional		$76.88	$83.03	$130.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $142.50 / $286.89 / $414.40	Professional		$142.50	$286.89	$414.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $113.00 / $113.00 / $210.32	Facility		$113.00	$113.00	$210.32
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $82.49 / $82.49 / $271.50	Professional		$82.49	$82.49	$271.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $83.91 / $83.91 / $167.14	Facility		$83.91	$83.91	$167.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $83.91 / $167.14 / $200.19	Professional		$83.91	$167.14	$200.19
United Facility/Professional Professional Modifier Low / Median / High Price $82.13 / $105.36 / $158.36	Professional		$82.13	$105.36	$158.36