Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.54 / $39.54 / $153.02	Facility		$39.54	$39.54	$153.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $41.87 / $55.79	Professional		$34.61	$41.87	$55.79
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 $67.42 / $88.55 / $88.55	Professional		$67.42	$88.55	$88.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.66 / $50.66 / $88.48	Facility		$50.66	$50.66	$88.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $36.97 / $77.48	Professional		$36.97	$36.97	$77.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.40 / $88.48 / $168.11	Professional		$81.40	$88.48	$168.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $59.78 / $59.78	Professional		$59.78	$59.78	$59.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $39.54 / $39.54 / $153.02	Facility		$39.54	$39.54	$153.02
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $32.51 / $41.30 / $61.05	Professional		$32.51	$41.30	$61.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $120.60 / $174.30	Professional		$59.90	$120.60	$174.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $50.66 / $50.66 / $88.48	Facility		$50.66	$50.66	$88.48
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $36.97 / $105.38	Professional		$36.97	$36.97	$105.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $63.30 / $84.28 / $84.28	Facility		$63.30	$84.28	$84.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $84.28 / $86.42	Professional		$63.30	$84.28	$86.42
United Facility/Professional Professional Modifier Low / Median / High Price $40.45 / $53.13 / $77.36	Professional		$40.45	$53.13	$77.36