Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.86 / $206.82 / $1,944.72	Facility		$118.86	$206.82	$1,944.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.88 / $114.19 / $137.77	Professional		$97.88	$114.19	$137.77
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 $103.35 / $107.25 / $174.59	Professional		$103.35	$107.25	$174.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.43 / $203.92 / $2,302.92	Facility		$88.43	$203.92	$2,302.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.60 / $160.08 / $272.20	Professional		$86.60	$160.08	$272.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $123.49 / $156.72 / $217.29	Professional		$123.49	$156.72	$217.29
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $118.86 / $217.51 / $736.64	Facility		$118.86	$217.51	$736.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $97.88 / $118.86 / $236.57	Professional		$97.88	$118.86	$236.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.07 / $95.74 / $264.10	Professional		$42.07	$95.74	$264.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $82.07 / $203.92 / $2,302.92	Facility		$82.07	$203.92	$2,302.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $86.60 / $152.90 / $253.07	Professional		$86.60	$152.90	$253.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $116.10 / $116.10 / $214.50	Facility		$116.10	$116.10	$214.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $114.30 / $116.10 / $214.50	Professional		$114.30	$116.10	$214.50
United Facility/Professional Professional Modifier Low / Median / High Price $99.02 / $133.34 / $221.22	Professional		$99.02	$133.34	$221.22