Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.28 / $202.43 / $533.92	Facility		$163.28	$202.43	$533.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.61 / $149.37 / $183.18	Professional		$133.61	$149.37	$183.18
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 $175.77 / $182.40 / $182.40	Professional		$175.77	$182.40	$182.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.55 / $178.55 / $178.55	Facility		$178.55	$178.55	$178.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.01 / $199.38 / $319.52	Professional		$125.01	$199.38	$319.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $185.34 / $213.82 / $288.80	Professional		$185.34	$213.82	$288.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $163.28 / $213.90 / $546.99	Facility		$163.28	$213.90	$546.99
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $133.61 / $150.05 / $203.03	Professional		$133.61	$150.05	$203.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $200.70 / $200.70 / $243.60	Professional		$200.70	$200.70	$243.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $109.05 / $178.55 / $178.55	Facility		$109.05	$178.55	$178.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $127.23 / $199.38 / $328.94	Professional		$127.23	$199.38	$328.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $164.00 / $167.09 / $167.09	Facility		$164.00	$167.09	$167.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $125.86 / $164.00 / $167.09	Professional		$125.86	$164.00	$167.09
United Facility/Professional Professional Modifier Low / Median / High Price $140.94 / $181.37 / $310.45	Professional		$140.94	$181.37	$310.45