Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.27 / $38.27 / $40.52	Facility		$38.27	$38.27	$40.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.49 / $40.52 / $46.79	Professional		$31.49	$40.52	$46.79
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 $65.26 / $85.70 / $85.70	Professional		$65.26	$85.70	$85.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.70 / $69.70 / $85.70	Facility		$69.70	$69.70	$85.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $59.25 / $75.04	Professional		$59.25	$59.25	$75.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $85.70 / $162.83	Professional		$78.84	$85.70	$162.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.25 / $179.25 / $256.07	Facility		$179.25	$179.25	$256.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $38.27 / $38.27 / $38.27	Facility		$38.27	$38.27	$38.27
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $26.01 / $40.52 / $55.74	Professional		$26.01	$40.52	$55.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $106.30 / $122.20 / $168.80	Professional		$106.30	$122.20	$168.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $69.70 / $69.70 / $85.70	Facility		$69.70	$69.70	$85.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $59.25 / $101.63	Professional		$59.25	$59.25	$101.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $61.27 / $81.56 / $81.56	Facility		$61.27	$81.56	$81.56
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $61.27 / $81.56 / $83.56	Professional		$61.27	$81.56	$83.56
United Facility/Professional Professional Modifier Low / Median / High Price $39.13 / $46.32 / $77.28	Professional		$39.13	$46.32	$77.28