Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.15 / $272.60 / $326.27	Facility		$67.15	$272.60	$326.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.87 / $63.20 / $67.15	Professional		$41.87	$63.20	$67.15
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 $61.62 / $61.62 / $61.62	Professional		$61.62	$61.62	$61.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.89 / $102.70 / $261.87	Facility		$52.89	$102.70	$261.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.78 / $380.78 / $380.78	Professional		$380.78	$380.78	$380.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $82.95 / $106.65 / $195.13	Professional		$82.95	$106.65	$195.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $121.58 / $326.27 / $326.27	Facility		$121.58	$326.27	$326.27
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $51.85 / $64.78 / $326.27	Professional		$51.85	$64.78	$326.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $116.92 / $118.50 / $158.00	Professional		$116.92	$118.50	$158.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $52.89 / $102.70 / $261.87	Facility		$52.89	$102.70	$261.87
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $380.78 / $380.78 / $380.78	Professional		$380.78	$380.78	$380.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $79.00 / $86.90	Facility		$79.00	$79.00	$86.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $86.90	Professional		$79.00	$79.00	$86.90
United Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $47.40 / $105.48	Professional		$33.18	$47.40	$105.48