Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.60 / $495.60 / $731.10	Facility		$141.60	$495.60	$731.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.91 / $141.60 / $1,124.03	Professional		$114.91	$141.60	$1,124.03
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 $136.35 / $136.35 / $136.35	Professional		$136.35	$136.35	$136.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.90 / $258.30 / $580.25	Facility		$165.90	$258.30	$580.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.48 / $186.75 / $395.47	Professional		$80.48	$186.75	$395.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $104.01 / $235.99 / $332.14	Professional		$104.01	$235.99	$332.14
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $148.59 / $495.60 / $721.97	Facility		$148.59	$495.60	$721.97
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $125.86 / $148.59 / $721.97	Professional		$125.86	$148.59	$721.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $258.72 / $262.20 / $402.40	Professional		$258.72	$262.20	$402.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $170.02 / $290.83 / $580.25	Facility		$170.02	$290.83	$580.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $81.83 / $187.18 / $395.47	Professional		$81.83	$187.18	$395.47
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $174.81 / $174.81 / $194.04	Facility		$174.81	$174.81	$194.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $174.81 / $194.04	Professional		$174.81	$174.81	$194.04
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $104.89 / $244.73	Professional		$73.42	$104.89	$244.73