Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.19 / $104.35 / $275.30	Facility		$84.19	$104.35	$275.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.65 / $76.78 / $92.44	Professional		$68.65	$76.78	$92.44
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 $162.60 / $168.74 / $168.74	Professional		$162.60	$168.74	$168.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.72 / $91.72 / $91.72	Facility		$91.72	$91.72	$91.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.67 / $107.97 / $181.98	Professional		$64.67	$107.97	$181.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $101.05 / $200.38 / $291.83	Professional		$101.05	$200.38	$291.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $84.19 / $110.29 / $282.04	Facility		$84.19	$110.29	$282.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $68.87 / $79.39 / $104.08	Professional		$68.87	$79.39	$104.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $189.60 / $189.60 / $253.80	Professional		$189.60	$189.60	$253.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $91.72 / $91.72 / $970.52	Facility		$91.72	$91.72	$970.52
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $65.78 / $105.28 / $181.98	Professional		$65.78	$105.28	$181.98
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $156.53 / $156.53 / $162.15	Facility		$156.53	$156.53	$162.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $151.63 / $156.53 / $217.06	Professional		$151.63	$156.53	$217.06
United Facility/Professional Professional Modifier Low / Median / High Price $133.85 / $176.08 / $302.87	Professional		$133.85	$176.08	$302.87