Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.22 / $45.22 / $175.00	Facility		$45.22	$45.22	$175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $47.88 / $70.67	Professional		$39.61	$47.88	$70.67
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 $77.09 / $101.25 / $101.25	Professional		$77.09	$101.25	$101.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.22 / $66.22 / $101.25	Facility		$66.22	$66.22	$101.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $48.34 / $88.66	Professional		$48.34	$48.34	$88.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $93.15 / $101.25 / $192.38	Professional		$93.15	$101.25	$192.38
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.37 / $68.37 / $68.37	Professional		$68.37	$68.37	$68.37
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $45.22 / $45.22 / $175.00	Facility		$45.22	$45.22	$175.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $49.41 / $87.01	Professional		$39.61	$49.41	$87.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $138.10 / $199.50	Professional		$68.50	$138.10	$199.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $66.22 / $66.22 / $101.25	Facility		$66.22	$66.22	$101.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $48.34 / $117.38	Professional		$48.34	$48.34	$117.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $96.37 / $96.37 / $96.82	Facility		$96.37	$96.37	$96.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $96.37 / $96.37 / $96.82	Professional		$96.37	$96.37	$96.82
United Facility/Professional Professional Modifier Low / Median / High Price $47.54 / $60.75 / $88.47	Professional		$47.54	$60.75	$88.47