Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.68 / $290.63 / $998.24	Facility		$47.68	$290.63	$998.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $41.06 / $103.00	Professional		$40.65	$41.06	$103.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $45.54 / $53.35 / $8,459.92	Facility		$45.54	$53.35	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $53.35 / $53.35 / $53.35	Professional		$53.35	$53.35	$53.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.35 / $40.65 / $85.00	Facility		$38.35	$40.65	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $40.65	Professional		$40.65	$40.65	$40.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.19 / $44.10 / $44.10	Professional		$42.19	$44.10	$44.10
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.35 / $53.35 / $321.31	Facility		$53.35	$53.35	$321.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $42.44 / $253.14 / $998.24	Facility		$42.44	$253.14	$998.24
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $41.61 / $110.17	Professional		$40.65	$41.61	$110.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.21 / $60.98 / $96.31	Professional		$40.21	$60.98	$96.31
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $38.35 / $40.65 / $85.00	Facility		$38.35	$40.65	$85.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $42.19	Professional		$40.65	$40.65	$42.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $30.52 / $30.52 / $35.42	Facility		$30.52	$30.52	$35.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $30.52 / $35.42	Professional		$30.52	$30.52	$35.42
United Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $57.41	Professional		$40.65	$40.65	$57.41