Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.38 / $239.59 / $678.77	Facility		$131.38	$239.59	$678.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.56 / $130.16 / $176.52	Professional		$111.56	$130.16	$176.52
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 $129.57 / $134.46 / $291.51	Professional		$129.57	$134.46	$291.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.72 / $269.20 / $722.75	Facility		$64.72	$269.20	$722.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.40 / $186.02 / $299.77	Professional		$106.40	$186.02	$299.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $145.18 / $195.82 / $221.93	Professional		$145.18	$195.82	$221.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $131.38 / $240.43 / $518.95	Facility		$131.38	$240.43	$518.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $115.55 / $131.38 / $252.56	Professional		$115.55	$131.38	$252.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.83 / $152.96 / $269.44	Professional		$79.83	$152.96	$269.44
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $64.72 / $319.07 / $722.75	Facility		$64.72	$319.07	$722.75
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $113.93 / $199.03 / $300.42	Professional		$113.93	$199.03	$300.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $128.41 / $128.41 / $208.00	Facility		$128.41	$128.41	$208.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $126.26 / $128.41 / $208.00	Professional		$126.26	$128.41	$208.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.58 / $163.72 / $253.48	Professional		$121.58	$163.72	$253.48