Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.98 / $190.79 / $436.91	Facility		$51.98	$190.79	$436.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $72.06 / $114.64	Professional		$45.79	$72.06	$114.64
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $5,044.89	Facility		$1,083.51	$1,395.00	$5,044.89
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $85.44 / $88.66 / $135.58	Professional		$85.44	$88.66	$135.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.78 / $88.04 / $165.17	Professional		$50.78	$88.04	$165.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $103.62 / $137.32 / $141.56	Professional		$103.62	$137.32	$141.56
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $51.98 / $162.44 / $760.00	Facility		$51.98	$162.44	$760.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $46.48 / $83.55 / $150.61	Professional		$46.48	$83.55	$150.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $96.50 / $246.10	Professional		$6.00	$96.50	$246.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $52.61 / $92.29 / $171.12	Professional		$52.61	$92.29	$171.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $47.79 / $60.80 / $149.12	Facility		$47.79	$60.80	$149.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $47.66 / $86.34 / $94.67	Professional		$47.66	$86.34	$94.67
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $577.00 / $3,742.00	Facility		$162.00	$577.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.97 / $104.14 / $172.72	Professional		$69.97	$104.14	$172.72