Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.61 / $49.61 / $52.53	Facility		$49.61	$49.61	$52.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.48 / $52.53 / $67.70	Professional		$43.48	$52.53	$67.70
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 $84.59 / $111.09 / $111.09	Professional		$84.59	$111.09	$111.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.38 / $90.38 / $111.09	Facility		$90.38	$90.38	$111.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.81 / $76.81 / $97.28	Professional		$76.81	$76.81	$97.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $102.20 / $111.09 / $211.07	Professional		$102.20	$111.09	$211.07
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $232.36 / $331.94 / $508.49	Facility		$232.36	$331.94	$508.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $49.61 / $49.61 / $49.61	Facility		$49.61	$49.61	$49.61
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $43.48 / $52.53 / $76.56	Professional		$43.48	$52.53	$76.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $158.40 / $218.90	Professional		$137.80	$158.40	$218.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $90.38 / $90.38 / $111.09	Facility		$90.38	$90.38	$111.09
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $76.81 / $76.81 / $132.00	Professional		$76.81	$76.81	$132.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $79.44 / $105.74 / $105.74	Facility		$79.44	$105.74	$105.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $79.44 / $105.74 / $108.36	Professional		$79.44	$105.74	$108.36
United Facility/Professional Professional Modifier Low / Median / High Price $50.10 / $60.23 / $97.07	Professional		$50.10	$60.23	$97.07