Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.16 / $124.32 / $625.77	Facility		$69.16	$124.32	$625.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.71 / $66.16 / $107.43	Professional		$56.71	$66.16	$107.43
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 $67.23 / $69.77 / $140.40	Professional		$67.23	$69.77	$140.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.04 / $145.99 / $582.00	Facility		$61.04	$145.99	$582.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.08 / $102.70 / $192.05	Professional		$56.08	$102.70	$192.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.06 / $104.56 / $160.94	Professional		$81.06	$104.56	$160.94
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $69.16 / $129.33 / $329.34	Facility		$69.16	$129.33	$329.34
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $56.71 / $69.16 / $179.65	Professional		$56.71	$69.16	$179.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $150.19 / $204.70 / $250.50	Professional		$150.19	$204.70	$250.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $59.33 / $131.66 / $740.67	Facility		$59.33	$131.66	$740.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $56.43 / $99.63 / $185.56	Professional		$56.43	$99.63	$185.56
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $66.44 / $66.44 / $126.00	Facility		$66.44	$66.44	$126.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $65.47 / $66.44 / $126.00	Professional		$65.47	$66.44	$126.00
United Facility/Professional Facility Modifier Low / Median / High Price $587.50 / $587.50 / $587.50	Facility		$587.50	$587.50	$587.50
United Facility/Professional Professional Modifier Low / Median / High Price $63.95 / $91.90 / $149.53	Professional		$63.95	$91.90	$149.53