Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.73 / $221.38 / $655.47	Facility		$172.73	$221.38	$655.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.51 / $172.84 / $246.40	Professional		$132.51	$172.84	$246.40
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 $119.73 / $235.31 / $395.95	Professional		$119.73	$235.31	$395.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.57 / $159.57 / $571.78	Facility		$159.57	$159.57	$571.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.24 / $251.39 / $406.64	Professional		$124.24	$251.39	$406.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $144.44 / $191.00 / $293.39	Professional		$144.44	$191.00	$293.39
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $172.73 / $238.37 / $655.47	Facility		$172.73	$238.37	$655.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $140.88 / $181.03 / $332.75	Professional		$140.88	$181.03	$332.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $426.20 / $426.20 / $541.79	Professional		$426.20	$426.20	$541.79
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $159.57 / $159.57 / $571.78	Facility		$159.57	$159.57	$571.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $124.24 / $248.79 / $406.64	Professional		$124.24	$248.79	$406.64
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $160.60 / $160.60 / $233.52	Facility		$160.60	$160.60	$233.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $157.93 / $160.60 / $233.52	Professional		$157.93	$160.60	$233.52
United Facility/Professional Professional Modifier Low / Median / High Price $168.34 / $225.92 / $394.24	Professional		$168.34	$225.92	$394.24