Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.23 / $148.08 / $392.72	Facility		$117.23	$148.08	$392.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.33 / $110.16 / $133.47	Professional		$97.33	$110.16	$133.47
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 $141.10 / $146.41 / $242.97	Professional		$141.10	$146.41	$242.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.49 / $186.33 / $186.33	Facility		$130.49	$186.33	$186.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.35 / $153.21 / $237.68	Professional		$93.35	$153.21	$237.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $152.90 / $152.90 / $152.90	Facility		$152.90	$152.90	$152.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $140.66 / $185.99 / $211.62	Professional		$140.66	$185.99	$211.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $117.23 / $214.53 / $463.06	Facility		$117.23	$214.53	$463.06
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $97.73 / $110.55 / $194.60	Professional		$97.73	$110.55	$194.60
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $159.00 / $159.00 / $159.00	Facility		$159.00	$159.00	$159.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $159.00 / $159.00 / $212.30	Professional		$159.00	$159.00	$212.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $130.49 / $186.33 / $186.33	Facility		$130.49	$186.33	$186.33
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $94.56 / $153.21 / $237.82	Professional		$94.56	$153.21	$237.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $132.34 / $132.34 / $148.50	Facility		$132.34	$132.34	$148.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $131.35 / $133.43 / $148.50	Professional		$131.35	$133.43	$148.50
United Facility/Professional Professional Modifier Low / Median / High Price $104.00 / $139.38 / $245.59	Professional		$104.00	$139.38	$245.59