Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.63 / $294.22 / $1,944.72	Facility		$172.63	$294.22	$1,944.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.39 / $154.83 / $192.23	Professional		$119.39	$154.83	$192.23
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $159.03 / $165.03 / $274.67	Professional		$159.03	$165.03	$274.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.28 / $317.88 / $1,901.73	Facility		$139.28	$317.88	$1,901.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.43 / $181.25 / $304.33	Professional		$118.43	$181.25	$304.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $146.47 / $211.08 / $252.89	Professional		$146.47	$211.08	$252.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $172.63 / $294.22 / $736.64	Facility		$172.63	$294.22	$736.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $139.33 / $161.68 / $304.00	Professional		$139.33	$161.68	$304.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $111.96 / $140.50 / $390.72	Professional		$111.96	$140.50	$390.72
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $132.07 / $308.62 / $2,302.92	Facility		$132.07	$308.62	$2,302.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $118.45 / $181.25 / $295.97	Professional		$118.45	$181.25	$295.97
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $116.00 / $162.62 / $162.62	Facility		$116.00	$162.62	$162.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $162.62 / $175.44	Professional		$116.00	$162.62	$175.44
United Facility/Professional Professional Modifier Low / Median / High Price $122.00 / $166.01 / $296.48	Professional		$122.00	$166.01	$296.48