Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.75 / $79.65 / $1,199.24	Facility		$52.75	$79.65	$1,199.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $54.33	Professional		$52.75	$52.75	$54.33
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $45.03 / $52.75 / $8,639.91	Facility		$45.03	$52.75	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $52.75	Professional		$52.75	$52.75	$52.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.75 / $52.75 / $52.75	Facility		$52.75	$52.75	$52.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $52.75	Professional		$52.75	$52.75	$52.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $57.23 / $71.44	Professional		$54.75	$57.23	$71.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $292.27 / $292.27 / $292.27	Facility		$292.27	$292.27	$292.27
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $49.34 / $79.65 / $1,544.40	Facility		$49.34	$79.65	$1,544.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $83.38	Professional		$52.75	$52.75	$83.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $43.00 / $98.60	Professional		$35.40	$43.00	$98.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $49.77 / $52.75 / $52.75	Facility		$49.77	$52.75	$52.75
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $53.29	Professional		$52.75	$52.75	$53.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $44.31 / $44.31 / $51.41	Facility		$44.31	$44.31	$51.41
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $44.31 / $44.31 / $51.41	Professional		$44.31	$44.31	$51.41
United Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $68.84	Professional		$52.75	$52.75	$68.84