Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.54 / $277.38 / $7,781.43	Facility		$151.54	$277.38	$7,781.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.75 / $145.54 / $252.98	Professional		$124.75	$145.54	$252.98
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 $150.01 / $155.66 / $317.12	Professional		$150.01	$155.66	$317.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.33 / $302.14 / $7,546.28	Facility		$126.33	$302.14	$7,546.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.69 / $262.49 / $617.73	Professional		$123.69	$262.49	$617.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $180.24 / $232.43 / $470.69	Professional		$180.24	$232.43	$470.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $151.54 / $277.38 / $2,947.51	Facility		$151.54	$277.38	$2,947.51
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $125.52 / $151.54 / $442.13	Professional		$125.52	$151.54	$442.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $320.30 / $676.50 / $727.40	Professional		$320.30	$676.50	$727.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $124.06 / $268.87 / $7,570.74	Facility		$124.06	$268.87	$7,570.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $127.20 / $256.37 / $601.91	Professional		$127.20	$256.37	$601.91
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $147.62 / $147.62 / $487.19	Facility		$147.62	$147.62	$487.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $145.58 / $147.62 / $487.19	Professional		$145.58	$147.62	$487.19
United Facility/Professional Professional Modifier Low / Median / High Price $142.38 / $205.66 / $475.46	Professional		$142.38	$205.66	$475.46