Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.30 / $160.22 / $625.77	Facility		$100.30	$160.22	$625.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.44 / $86.59 / $109.68	Professional		$71.44	$86.59	$109.68
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 $91.85 / $95.32 / $152.62	Professional		$91.85	$95.32	$152.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.63 / $219.57 / $582.00	Facility		$97.63	$219.57	$582.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.89 / $99.65 / $169.56	Professional		$65.89	$99.65	$169.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.31 / $123.61 / $148.68	Professional		$87.31	$123.61	$148.68
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $100.30 / $169.83 / $396.19	Facility		$100.30	$169.83	$396.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $94.48 / $174.78	Professional		$79.26	$94.48	$174.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.80 / $77.80 / $251.20	Professional		$77.80	$77.80	$251.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $95.28 / $201.16 / $740.67	Facility		$95.28	$201.16	$740.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $66.18 / $99.65 / $169.05	Professional		$66.18	$99.65	$169.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $64.50 / $93.17 / $93.17	Facility		$64.50	$93.17	$93.17
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $64.50 / $93.17 / $101.41	Professional		$64.50	$93.17	$101.41
United Facility/Professional Professional Modifier Low / Median / High Price $65.80 / $95.32 / $167.22	Professional		$65.80	$95.32	$167.22