Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.59 / $603.22 / $731.10	Facility		$148.59	$603.22	$731.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.89 / $141.60 / $148.59	Professional		$104.89	$141.60	$148.59
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 $136.35 / $136.35 / $136.35	Professional		$136.35	$136.35	$136.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.04 / $227.26 / $580.25	Facility		$117.04	$227.26	$580.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $842.58 / $842.58 / $842.58	Professional		$842.58	$842.58	$842.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $183.55 / $235.99 / $431.78	Professional		$183.55	$235.99	$431.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $180.05 / $496.29 / $721.97	Facility		$180.05	$496.29	$721.97
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $114.73 / $148.59 / $721.97	Professional		$114.73	$148.59	$721.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $258.72 / $262.20 / $349.62	Professional		$258.72	$262.20	$349.62
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $117.04 / $227.26 / $580.25	Facility		$117.04	$227.26	$580.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $842.58 / $842.58 / $842.58	Professional		$842.58	$842.58	$842.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $174.81 / $174.81 / $192.29	Facility		$174.81	$174.81	$192.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $174.81 / $192.29	Professional		$174.81	$174.81	$192.29
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $104.89 / $262.22	Professional		$73.42	$104.89	$262.22