Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.30 / $23.30 / $29.12	Facility		$23.30	$23.30	$29.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $29.12 / $77.59	Professional		$15.17	$29.12	$77.59
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $967.00 / $57,255.43 / $79,506.39	Facility		$967.00	$57,255.43	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $47.51 / $47.51 / $47.51	Professional		$47.51	$47.51	$47.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.68 / $55.68 / $55.68	Facility		$55.68	$55.68	$55.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $19.38 / $19.38	Professional		$19.38	$19.38	$19.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $49.89 / $64.33 / $68.89	Professional		$49.89	$64.33	$68.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.44 / $249.30 / $319.79	Facility		$127.44	$249.30	$319.79
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $23.30 / $29.12 / $203.12	Facility		$23.30	$29.12	$203.12
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $29.12 / $77.59	Professional		$15.17	$29.12	$77.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $70.80 / $93.60	Professional		$58.40	$70.80	$93.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $55.68 / $55.68 / $55.68	Facility		$55.68	$55.68	$55.68
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $19.38 / $19.38	Professional		$19.38	$19.38	$19.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $27.84 / $45.22 / $45.22	Facility		$27.84	$45.22	$45.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $27.84 / $45.22 / $45.22	Professional		$27.84	$45.22	$45.22
United Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $23.70 / $41.14	Professional		$20.14	$23.70	$41.14