Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.03 / $315.23 / $770.02	Facility		$237.03	$315.23	$770.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.94 / $211.81 / $265.58	Professional		$156.94	$211.81	$265.58
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 $175.01 / $266.95 / $277.02	Professional		$175.01	$266.95	$277.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.59 / $156.88 / $582.00	Facility		$65.59	$156.88	$582.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $103.33 / $161.59	Professional		$64.75	$103.33	$161.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $100.20 / $121.94 / $242.24	Professional		$100.20	$121.94	$242.24
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $237.03 / $315.23 / $786.86	Facility		$237.03	$315.23	$786.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $188.21 / $223.96 / $286.58	Professional		$188.21	$223.96	$286.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $109.60 / $260.33	Professional		$29.76	$109.60	$260.33
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $63.02 / $145.32 / $740.67	Facility		$63.02	$145.32	$740.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $65.55 / $102.59 / $163.15	Professional		$65.55	$102.59	$163.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $93.19 / $97.61 / $97.61	Facility		$93.19	$97.61	$97.61
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $90.18 / $97.44 / $183.23	Professional		$90.18	$97.44	$183.23
United Facility/Professional Professional Modifier Low / Median / High Price $81.50 / $262.06 / $460.87	Professional		$81.50	$262.06	$460.87