Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.24 / $162.87 / $491.10	Facility		$112.24	$162.87	$491.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.99 / $110.59 / $231.57	Professional		$86.99	$110.59	$231.57
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 $157.96 / $163.92 / $192.94	Professional		$157.96	$163.92	$192.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.35 / $109.92 / $342.91	Facility		$50.35	$109.92	$342.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $119.19 / $183.81	Professional		$73.00	$119.19	$183.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $115.51 / $135.34 / $225.99	Professional		$115.51	$135.34	$225.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $112.24 / $162.87 / $491.10	Facility		$112.24	$162.87	$491.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $95.61 / $115.83 / $285.08	Professional		$95.61	$115.83	$285.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.60 / $125.60 / $166.70	Professional		$125.60	$125.60	$166.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $49.34 / $109.92 / $342.91	Facility		$49.34	$109.92	$342.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $74.18 / $118.14 / $186.56	Professional		$74.18	$118.14	$186.56
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $101.87 / $101.87 / $105.50	Facility		$101.87	$101.87	$105.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $100.79 / $102.87 / $149.53	Professional		$100.79	$102.87	$149.53
United Facility/Professional Professional Modifier Low / Median / High Price $97.90 / $168.54 / $316.98	Professional		$97.90	$168.54	$316.98