Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.56 / $149.25 / $1,607.91	Facility		$118.56	$149.25	$1,607.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.68 / $109.97 / $134.22	Professional		$95.68	$109.97	$134.22
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 $148.22 / $153.81 / $153.81	Professional		$148.22	$153.81	$153.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.11 / $130.11 / $130.11	Facility		$130.11	$130.11	$130.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.35 / $153.22 / $262.44	Professional		$93.35	$153.22	$262.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $547.70 / $547.70 / $547.70	Facility		$547.70	$547.70	$547.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $147.72 / $399.45 / $454.82	Professional		$147.72	$399.45	$454.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $118.56 / $155.33 / $468.35	Facility		$118.56	$155.33	$468.35
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $97.15 / $110.37 / $172.45	Professional		$97.15	$110.37	$172.45
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $348.40 / $348.40 / $348.40	Facility		$348.40	$348.40	$348.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $348.40 / $348.40 / $468.90	Professional		$348.40	$348.40	$468.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $130.11 / $130.11 / $130.11	Facility		$130.11	$130.11	$130.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $93.35 / $151.90 / $263.57	Professional		$93.35	$151.90	$263.57
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $141.11 / $141.11 / $281.50	Facility		$141.11	$141.11	$281.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $141.11 / $143.93 / $281.50	Professional		$141.11	$143.93	$281.50
United Facility/Professional Professional Modifier Low / Median / High Price $125.85 / $221.51 / $345.56	Professional		$125.85	$221.51	$345.56