Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.50 / $197.28 / $625.77	Facility		$122.50	$197.28	$625.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.64 / $106.08 / $133.09	Professional		$84.64	$106.08	$133.09
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $473.59 / $8,639.91 / $79,506.39	Facility		$473.59	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $108.70 / $112.80 / $185.21	Professional		$108.70	$112.80	$185.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.01 / $276.24 / $582.00	Facility		$123.01	$276.24	$582.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.96 / $121.53 / $207.12	Professional		$82.96	$121.53	$207.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $110.31 / $146.71 / $176.86	Professional		$110.31	$146.71	$176.86
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $122.50 / $201.00 / $483.88	Facility		$122.50	$201.00	$483.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $95.99 / $115.22 / $212.16	Professional		$95.99	$115.22	$212.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.80 / $109.80 / $304.80	Professional		$109.80	$109.80	$304.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $116.54 / $246.39 / $740.67	Facility		$116.54	$246.39	$740.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $83.83 / $121.51 / $205.80	Professional		$83.83	$121.51	$205.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $89.00 / $113.07 / $113.07	Facility		$89.00	$113.07	$113.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $113.07 / $123.34	Professional		$89.00	$113.07	$123.34
United Facility/Professional Professional Modifier Low / Median / High Price $86.19 / $114.04 / $204.87	Professional		$86.19	$114.04	$204.87