Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.66 / $167.04 / $454.46	Facility		$135.66	$167.04	$454.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.29 / $123.14 / $152.21	Professional		$108.29	$123.14	$152.21
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $547.87 / $8,639.91 / $79,506.39	Facility		$547.87	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $150.66 / $156.34 / $258.50	Professional		$150.66	$156.34	$258.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.80 / $148.80 / $148.80	Facility		$148.80	$148.80	$148.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.43 / $172.04 / $268.75	Professional		$105.43	$172.04	$268.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $263.05 / $263.05 / $263.05	Facility		$263.05	$263.05	$263.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $108.23 / $206.97 / $258.80	Professional		$108.23	$206.97	$258.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $135.66 / $248.26 / $535.86	Facility		$135.66	$248.26	$535.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $110.25 / $126.30 / $170.21	Professional		$110.25	$126.30	$170.21
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $174.00 / $174.00 / $174.00	Facility		$174.00	$174.00	$174.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $174.00 / $174.00 / $232.40	Professional		$174.00	$174.00	$232.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $148.80 / $148.80 / $148.80	Facility		$148.80	$148.80	$148.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $106.77 / $171.25 / $275.19	Professional		$106.77	$171.25	$275.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $141.50 / $143.90 / $143.90	Facility		$141.50	$143.90	$143.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $141.50 / $143.79 / $143.90	Professional		$141.50	$143.79	$143.90
United Facility/Professional Professional Modifier Low / Median / High Price $114.81 / $154.11 / $254.71	Professional		$114.81	$154.11	$254.71