Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.99 / $230.95 / $7,781.43	Facility		$128.99	$230.95	$7,781.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.75 / $122.85 / $225.96	Professional		$106.75	$122.85	$225.96
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 $124.90 / $129.61 / $274.27	Professional		$124.90	$129.61	$274.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.38 / $226.58 / $7,570.74	Facility		$99.38	$226.58	$7,570.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.98 / $234.30 / $597.80	Professional		$103.98	$234.30	$597.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $149.08 / $191.98 / $444.66	Professional		$149.08	$191.98	$444.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $128.99 / $236.05 / $2,947.51	Facility		$128.99	$236.05	$2,947.51
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $106.75 / $128.99 / $404.24	Professional		$106.75	$128.99	$404.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $301.00 / $677.10 / $728.10	Professional		$301.00	$677.10	$728.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $94.74 / $207.63 / $9,214.70	Facility		$94.74	$207.63	$9,214.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $107.85 / $228.92 / $597.80	Professional		$107.85	$228.92	$597.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $125.19 / $125.19 / $488.46	Facility		$125.19	$125.19	$488.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $123.37 / $125.19 / $488.46	Professional		$123.37	$125.19	$488.46
United Facility/Professional Facility Modifier Low / Median / High Price $4,341.67 / $8,224.45 / $10,695.32	Facility		$4,341.67	$8,224.45	$10,695.32
United Facility/Professional Professional Modifier Low / Median / High Price $123.20 / $186.26 / $476.00	Professional		$123.20	$186.26	$476.00