Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.08 / $216.09 / $678.77	Facility		$118.08	$216.09	$678.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.92 / $117.74 / $165.99	Professional		$100.92	$117.74	$165.99
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $208.67 / $8,639.91 / $79,506.39	Facility		$208.67	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $117.17 / $121.59 / $265.37	Professional		$117.17	$121.59	$265.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.74 / $215.69 / $722.75	Facility		$48.74	$215.69	$722.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.17 / $171.47 / $274.01	Professional		$96.17	$171.47	$274.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $130.31 / $175.00 / $212.64	Professional		$130.31	$175.00	$212.64
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $118.08 / $216.66 / $466.42	Facility		$118.08	$216.66	$466.42
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $103.85 / $118.28 / $242.79	Professional		$103.85	$118.28	$242.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.10 / $152.00 / $254.00	Professional		$60.10	$152.00	$254.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $48.74 / $319.07 / $722.75	Facility		$48.74	$319.07	$722.75
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $101.91 / $182.07 / $276.14	Professional		$101.91	$182.07	$276.14
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $116.09 / $116.09 / $193.11	Facility		$116.09	$116.09	$193.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $113.98 / $116.09 / $193.11	Professional		$113.98	$116.09	$193.11
United Facility/Professional Professional Modifier Low / Median / High Price $110.02 / $155.26 / $231.07	Professional		$110.02	$155.26	$231.07