Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.88 / $95.88 / $126.86	Facility		$95.88	$95.88	$126.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.29 / $108.87 / $143.51	Professional		$84.29	$108.87	$143.51
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $125.95 / $130.69 / $154.22	Professional		$125.95	$130.69	$154.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.97 / $159.97 / $159.97	Facility		$159.97	$159.97	$159.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.55 / $128.85 / $221.77	Professional		$90.55	$128.85	$221.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $150.66 / $203.53 / $260.24	Professional		$150.66	$203.53	$260.24
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $95.88 / $95.88 / $126.86	Facility		$95.88	$95.88	$126.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $85.88 / $121.03 / $261.33	Professional		$85.88	$121.03	$261.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $133.00 / $299.39	Professional		$133.00	$133.00	$299.39
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $159.97 / $159.97 / $159.97	Facility		$159.97	$159.97	$159.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $93.47 / $130.69 / $234.13	Professional		$93.47	$130.69	$234.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $90.95 / $104.30 / $130.21	Facility		$90.95	$104.30	$130.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $90.95 / $117.36 / $128.71	Professional		$90.95	$117.36	$128.71
United Facility/Professional Facility Modifier Low / Median / High Price $362.00 / $674.00 / $3,742.00	Facility		$362.00	$674.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $103.62 / $140.19 / $240.09	Professional		$103.62	$140.19	$240.09