Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.50 / $112.15 / $273.95	Facility		$74.50	$112.15	$273.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.89 / $75.52 / $104.44	Professional		$56.89	$75.52	$104.44
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $236.93 / $8,639.91 / $79,506.39	Facility		$236.93	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $81.52 / $99.98 / $141.77	Professional		$81.52	$99.98	$141.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.04 / $135.81 / $260.37	Facility		$65.04	$135.81	$260.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.62 / $99.48 / $157.10	Professional		$67.62	$99.48	$157.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $84.20 / $116.76 / $199.72	Professional		$84.20	$116.76	$199.72
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $83.33 / $150.74 / $279.95	Facility		$83.33	$150.74	$279.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $82.03 / $150.74	Professional		$63.14	$82.03	$150.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $117.90 / $117.90 / $230.10	Professional		$117.90	$117.90	$230.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $64.73 / $135.81 / $260.37	Facility		$64.73	$135.81	$260.37
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $67.81 / $98.58 / $155.28	Professional		$67.81	$98.58	$155.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $82.21 / $82.21 / $116.85	Facility		$82.21	$82.21	$116.85
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $80.92 / $82.21 / $116.85	Professional		$80.92	$82.21	$116.85
United Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $92.32 / $152.69	Professional		$64.62	$92.32	$152.69