Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.25 / $79.25 / $109.87	Facility		$79.25	$79.25	$109.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.14 / $90.27 / $124.38	Professional		$69.14	$90.27	$124.38
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 $108.02 / $112.10 / $181.28	Professional		$108.02	$112.10	$181.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.86 / $130.86 / $130.86	Facility		$130.86	$130.86	$130.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.44 / $109.75 / $186.59	Professional		$74.44	$109.75	$186.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $128.62 / $173.77 / $222.17	Professional		$128.62	$173.77	$222.17
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $79.25 / $79.25 / $109.87	Facility		$79.25	$79.25	$109.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $71.42 / $102.89 / $226.33	Professional		$71.42	$102.89	$226.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.80 / $120.80 / $226.30	Professional		$120.80	$120.80	$226.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $130.86 / $130.86 / $130.86	Facility		$130.86	$130.86	$130.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $110.39 / $191.58	Professional		$75.86	$110.39	$191.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $72.55 / $75.03 / $104.12	Facility		$72.55	$75.03	$104.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $72.55 / $90.22 / $110.99	Professional		$72.55	$90.22	$110.99
United Facility/Professional Facility Modifier Low / Median / High Price $226.00 / $557.00 / $3,742.00	Facility		$226.00	$557.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.03 / $127.87 / $199.59	Professional		$93.03	$127.87	$199.59