Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.28 / $311.95 / $1,025.46	Facility		$179.28	$311.95	$1,025.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.25 / $161.91 / $204.40	Professional		$138.25	$161.91	$204.40
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 $126.55 / $131.33 / $328.50	Professional		$126.55	$131.33	$328.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.38 / $543.91 / $1,213.41	Facility		$148.38	$543.91	$1,213.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.48 / $167.75 / $297.83	Professional		$101.48	$167.75	$297.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $184.11 / $184.11 / $205.50	Professional		$184.11	$184.11	$205.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $179.28 / $320.95 / $708.16	Facility		$179.28	$320.95	$708.16
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $139.60 / $169.53 / $708.16	Professional		$139.60	$169.53	$708.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $256.97 / $297.27	Professional		$40.29	$256.97	$297.27
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $148.38 / $476.47 / $1,213.41	Facility		$148.38	$476.47	$1,213.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $105.79 / $173.68 / $324.83	Professional		$105.79	$173.68	$324.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $137.43 / $137.43	Facility		$110.00	$137.43	$137.43
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $137.43 / $149.69	Professional		$110.00	$137.43	$149.69
United Facility/Professional Professional Modifier Low / Median / High Price $119.39 / $188.15 / $315.39	Professional		$119.39	$188.15	$315.39