Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.95 / $369.21 / $441.91	Facility		$90.95	$369.21	$441.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.71 / $86.67 / $90.95	Professional		$56.71	$86.67	$90.95
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 $83.46 / $83.46 / $83.46	Professional		$83.46	$83.46	$83.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.64 / $139.10 / $355.32	Facility		$71.64	$139.10	$355.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $515.74 / $515.74 / $515.74	Professional		$515.74	$515.74	$515.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $112.35 / $144.44 / $264.29	Professional		$112.35	$144.44	$264.29
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $164.67 / $441.91 / $441.91	Facility		$164.67	$441.91	$441.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $70.22 / $90.95 / $441.91	Professional		$70.22	$90.95	$441.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $158.36 / $160.50 / $214.00	Professional		$158.36	$160.50	$214.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $71.64 / $139.10 / $355.32	Facility		$71.64	$139.10	$355.32
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $515.74 / $515.74 / $515.74	Professional		$515.74	$515.74	$515.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $107.00 / $117.70	Facility		$107.00	$107.00	$117.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $107.00 / $117.70	Professional		$107.00	$107.00	$117.70
United Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $64.20 / $149.80	Professional		$44.94	$64.20	$149.80