Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.14 / $151.62 / $625.77	Facility		$87.14	$151.62	$625.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.98 / $76.97 / $96.76	Professional		$69.98	$76.97	$96.76
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 $78.91 / $81.88 / $144.22	Professional		$78.91	$81.88	$144.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.98 / $173.15 / $582.00	Facility		$69.98	$173.15	$582.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $105.61 / $170.63	Professional		$64.75	$105.61	$170.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $91.85 / $113.04 / $136.15	Professional		$91.85	$113.04	$136.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $87.14 / $159.47 / $344.20	Facility		$87.14	$159.47	$344.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $84.41 / $152.83	Professional		$71.20	$84.41	$152.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.50 / $135.10 / $211.30	Professional		$134.50	$135.10	$211.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $66.93 / $166.86 / $740.67	Facility		$66.93	$166.86	$740.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $102.73 / $170.63	Professional		$64.75	$102.73	$170.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $81.80 / $81.80 / $110.00	Facility		$81.80	$81.80	$110.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $80.67 / $81.80 / $110.00	Professional		$80.67	$81.80	$110.00
United Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $94.44 / $149.63	Professional		$71.98	$94.44	$149.63