Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.84 / $136.63 / $485.51	Facility		$89.84	$136.63	$485.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.40 / $77.80 / $98.42	Professional		$55.40	$77.80	$98.42
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 $80.26 / $83.29 / $136.83	Professional		$80.26	$83.29	$136.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.43 / $191.93 / $436.39	Facility		$83.43	$191.93	$436.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.79 / $83.29 / $151.59	Professional		$48.79	$83.29	$151.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $70.92 / $108.15 / $130.43	Professional		$70.92	$108.15	$130.43
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $89.84 / $148.41 / $354.87	Facility		$89.84	$148.41	$354.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $84.53 / $156.60	Professional		$69.20	$84.53	$156.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.50 / $55.50 / $216.00	Professional		$55.50	$55.50	$216.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $80.65 / $176.02 / $574.05	Facility		$80.65	$176.02	$574.05
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $50.80 / $83.87 / $144.15	Professional		$50.80	$83.87	$144.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $45.50 / $83.53 / $83.53	Facility		$45.50	$83.53	$83.53
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $45.50 / $83.53 / $91.00	Professional		$45.50	$83.53	$91.00
United Facility/Professional Facility Modifier Low / Median / High Price $87.86 / $87.86 / $87.86	Facility		$87.86	$87.86	$87.86
United Facility/Professional Professional Modifier Low / Median / High Price $50.45 / $83.37 / $139.54	Professional		$50.45	$83.37	$139.54