Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $7,754.20	Facility		$75.86	$75.86	$7,754.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.06 / $77.42 / $97.79	Professional		$70.06	$77.42	$97.79
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $112.32 / $155.91	Professional		$69.34	$112.32	$155.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.87 / $102.73 / $168.63	Professional		$77.87	$102.73	$168.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $90.34 / $119.21 / $120.18	Professional		$90.34	$119.21	$120.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $225.30 / $59,347.10	Facility		$75.86	$225.30	$59,347.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $70.06 / $79.01 / $138.88	Professional		$70.06	$79.01	$138.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $136.19 / $165.20 / $194.20	Professional		$136.19	$165.20	$194.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $79.81 / $106.68 / $168.63	Professional		$79.81	$106.68	$168.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $73.47 / $73.47 / $73.47	Facility		$73.47	$73.47	$73.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $73.47 / $73.47 / $73.47	Professional		$73.47	$73.47	$73.47
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 $78.17 / $97.27 / $161.40	Professional		$78.17	$97.27	$161.40