Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.65 / $396.79 / $800.01	Facility		$244.65	$396.79	$800.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.99 / $207.31 / $244.65	Professional		$148.99	$207.31	$244.65
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 $200.54 / $288.07 / $288.07	Professional		$200.54	$288.07	$288.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.14 / $167.59 / $740.67	Facility		$71.14	$167.59	$740.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.23 / $125.24 / $198.30	Professional		$78.23	$125.24	$198.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $153.99 / $153.99 / $153.99	Facility		$153.99	$153.99	$153.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $119.49 / $161.97 / $276.16	Professional		$119.49	$161.97	$276.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $244.65 / $396.79 / $819.58	Facility		$244.65	$396.79	$819.58
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $159.05 / $214.37 / $270.39	Professional		$159.05	$214.37	$270.39
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $124.20 / $124.20 / $124.20	Facility		$124.20	$124.20	$124.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $124.20 / $124.20 / $165.30	Professional		$124.20	$124.20	$165.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $71.14 / $159.32 / $740.67	Facility		$71.14	$159.32	$740.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $78.52 / $124.73 / $198.30	Professional		$78.52	$124.73	$198.30
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $102.50 / $111.07 / $111.07	Facility		$102.50	$111.07	$111.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $102.50 / $111.07 / $139.16	Professional		$102.50	$111.07	$139.16
United Facility/Professional Professional Modifier Low / Median / High Price $89.98 / $262.60 / $491.89	Professional		$89.98	$262.60	$491.89