Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.99 / $230.95 / $1,472.77	Facility		$128.99	$230.95	$1,472.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.75 / $122.85 / $252.12	Professional		$106.75	$122.85	$252.12
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 / $261.12	Professional		$124.90	$129.61	$261.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.70 / $226.58 / $1,535.36	Facility		$106.70	$226.58	$1,535.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.98 / $239.11 / $614.47	Professional		$103.98	$239.11	$614.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $149.08 / $191.98 / $472.73	Professional		$149.08	$191.98	$472.73
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $128.99 / $236.05 / $557.87	Facility		$128.99	$236.05	$557.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $106.75 / $128.99 / $368.03	Professional		$106.75	$128.99	$368.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $302.60 / $676.50 / $779.30	Professional		$302.60	$676.50	$779.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $94.74 / $207.63 / $1,739.92	Facility		$94.74	$207.63	$1,739.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $107.85 / $227.84 / $608.33	Professional		$107.85	$227.84	$608.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $125.19 / $125.19 / $487.19	Facility		$125.19	$125.19	$487.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $123.37 / $125.19 / $487.19	Professional		$123.37	$125.19	$487.19
United Facility/Professional Professional Modifier Low / Median / High Price $123.20 / $177.96 / $475.46	Professional		$123.20	$177.96	$475.46