Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.01 / $66.01 / $255.46	Facility		$66.01	$66.01	$255.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.84 / $69.89 / $90.05	Professional		$57.84	$69.89	$90.05
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 $112.55 / $147.81 / $147.81	Professional		$112.55	$147.81	$147.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.00 / $98.15 / $147.81	Facility		$98.00	$98.15	$147.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $71.65 / $129.43	Professional		$71.65	$71.65	$129.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $135.99 / $147.81 / $280.83	Professional		$135.99	$147.81	$280.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.80 / $99.80 / $103.47	Professional		$99.80	$99.80	$103.47
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $66.01 / $66.01 / $255.46	Facility		$66.01	$66.01	$255.46
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $57.84 / $72.48 / $125.00	Professional		$57.84	$72.48	$125.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $183.20 / $210.70 / $291.20	Professional		$183.20	$210.70	$291.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $98.00 / $98.15 / $147.81	Facility		$98.00	$98.15	$147.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $71.65 / $175.50	Professional		$71.65	$71.65	$175.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $140.69 / $140.69 / $140.69	Facility		$140.69	$140.69	$140.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $140.69 / $140.69 / $144.16	Professional		$140.69	$140.69	$144.16
United Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $88.69 / $133.27	Professional		$66.06	$88.69	$133.27