Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.05 / $123.63 / $1,330.78	Facility		$71.05	$123.63	$1,330.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $66.23 / $80.93	Professional		$58.00	$66.23	$80.93
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 $109.58 / $113.72 / $187.13	Professional		$109.58	$113.72	$187.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.60 / $230.58 / $1,575.21	Facility		$59.60	$230.58	$1,575.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.66 / $84.49 / $135.28	Professional		$53.66	$84.49	$135.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $515.66 / $515.66 / $643.74	Professional		$515.66	$515.66	$643.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $71.05 / $132.86 / $504.08	Facility		$71.05	$132.86	$504.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $58.99 / $68.58 / $81.69	Professional		$58.99	$68.58	$81.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.51 / $30.70 / $184.84	Professional		$27.51	$30.70	$184.84
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $59.60 / $206.50 / $1,575.21	Facility		$59.60	$206.50	$1,575.21
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $55.22 / $87.21 / $144.13	Professional		$55.22	$87.21	$144.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $105.75 / $105.75 / $240.00	Facility		$105.75	$105.75	$240.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $89.39 / $105.75 / $240.00	Professional		$89.39	$105.75	$240.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.04 / $124.06 / $204.11	Professional		$93.04	$124.06	$204.11