Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.76 / $105.76 / $164.87	Facility		$105.76	$105.76	$164.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.60 / $145.31 / $208.55	Professional		$94.60	$145.31	$208.55
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 $164.38 / $170.59 / $289.23	Professional		$164.38	$170.59	$289.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.98 / $174.98 / $174.98	Facility		$174.98	$174.98	$174.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.29 / $163.59 / $284.08	Professional		$103.29	$163.59	$284.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $197.76 / $266.51 / $341.58	Professional		$197.76	$266.51	$341.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $105.76 / $105.76 / $164.87	Facility		$105.76	$105.76	$164.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $99.64 / $153.04 / $288.52	Professional		$99.64	$153.04	$288.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.71 / $160.16 / $333.50	Professional		$128.71	$160.16	$333.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $174.98 / $174.98 / $174.98	Facility		$174.98	$174.98	$174.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $105.67 / $165.07 / $290.08	Professional		$105.67	$165.07	$290.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $99.03 / $100.04 / $156.01	Facility		$99.03	$100.04	$156.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $99.03 / $143.68 / $167.62	Professional		$99.03	$143.68	$167.62
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.55 / $179.39 / $292.12	Professional		$136.55	$179.39	$292.12