Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.48 / $85.31 / $85.31	Facility		$77.48	$85.31	$85.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.62 / $85.82 / $345.00	Professional		$74.62	$85.82	$345.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $90.77 / $94.19 / $179.54	Professional		$90.77	$94.19	$179.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.43 / $126.70 / $210.75	Professional		$97.43	$126.70	$210.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $110.91 / $149.54 / $149.54	Professional		$110.91	$149.54	$149.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $85.31 / $85.31 / $85.31	Facility		$85.31	$85.31	$85.31
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $74.62 / $108.46 / $253.37	Professional		$74.62	$108.46	$253.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $145.40 / $221.30	Professional		$3.00	$145.40	$221.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $96.45 / $126.70 / $215.10	Professional		$96.45	$126.70	$215.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $88.91 / $88.91 / $134.53	Facility		$88.91	$88.91	$134.53
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $84.59 / $90.96 / $134.53	Professional		$84.59	$90.96	$134.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.09 / $115.22 / $194.77	Professional		$87.09	$115.22	$194.77