Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $45.75 / $3,769.81	Facility		$30.23	$45.75	$3,769.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $31.14	Professional		$30.23	$30.23	$31.14
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $25.81 / $30.23 / $8,639.91	Facility		$25.81	$30.23	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $30.23	Professional		$30.23	$30.23	$30.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $30.23 / $30.23	Facility		$30.23	$30.23	$30.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $32.79	Professional		$30.23	$30.23	$32.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $31.37 / $32.79 / $40.93	Professional		$31.37	$32.79	$40.93
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.39 / $253.66 / $253.66	Facility		$39.39	$253.66	$253.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $30.61 / $45.75 / $7,717.23	Facility		$30.61	$45.75	$7,717.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.53 / $51.73	Professional		$30.23	$30.53	$51.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.30 / $68.50 / $76.59	Professional		$56.30	$68.50	$76.59
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $30.23 / $30.23	Facility		$28.52	$30.23	$30.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $34.22	Professional		$30.23	$30.23	$34.22
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $30.36 / $30.36 / $35.22	Facility		$30.36	$30.36	$35.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $30.36 / $30.36 / $35.22	Professional		$30.36	$30.36	$35.22
United Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $45.35	Professional		$30.23	$30.23	$45.35