Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.20 / $86.80 / $91.91	Facility		$43.20	$86.80	$91.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $91.91 / $118.46	Professional		$76.06	$91.91	$118.46
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 $148.01 / $194.38 / $194.38	Professional		$148.01	$194.38	$194.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.62 / $120.62 / $194.38	Facility		$120.62	$120.62	$194.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $88.05 / $170.20	Professional		$88.05	$88.05	$170.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $178.83 / $194.38 / $369.32	Professional		$178.83	$194.38	$369.32
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.14 / $1,282.14 / $1,365.48	Facility		$1,282.14	$1,282.14	$1,365.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $42.12 / $86.80 / $335.92	Facility		$42.12	$86.80	$335.92
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $95.31 / $155.00	Professional		$76.06	$95.31	$155.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $241.00 / $277.20 / $382.90	Professional		$241.00	$277.20	$382.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $120.62 / $120.62 / $194.38	Facility		$120.62	$120.62	$194.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $88.05 / $231.00	Professional		$88.05	$88.05	$231.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $185.01 / $185.01 / $185.01	Facility		$185.01	$185.01	$185.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $185.01 / $185.01 / $189.57	Professional		$185.01	$185.01	$189.57
United Facility/Professional Professional Modifier Low / Median / High Price $86.91 / $105.38 / $175.30	Professional		$86.91	$105.38	$175.30