Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.01 / $462.85 / $560.95	Facility		$114.01	$462.85	$560.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.48 / $108.65 / $114.01	Professional		$80.48	$108.65	$114.01
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 $104.62 / $104.62 / $104.62	Professional		$104.62	$104.62	$104.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.80 / $174.36 / $445.51	Facility		$89.80	$174.36	$445.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $646.51 / $646.51 / $646.51	Professional		$646.51	$646.51	$646.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $140.84 / $181.08 / $331.30	Professional		$140.84	$181.08	$331.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $138.15 / $380.79 / $553.96	Facility		$138.15	$380.79	$553.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $88.03 / $114.01 / $553.96	Professional		$88.03	$114.01	$553.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $198.51 / $201.19 / $268.26	Professional		$198.51	$201.19	$268.26
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $89.80 / $174.36 / $445.51	Facility		$89.80	$174.36	$445.51
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $646.51 / $646.51 / $646.51	Professional		$646.51	$646.51	$646.51
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $134.13 / $134.13 / $147.54	Facility		$134.13	$134.13	$147.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $134.13 / $147.54	Professional		$134.13	$134.13	$147.54
United Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $80.48 / $187.78	Professional		$56.33	$80.48	$187.78