Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.94 / $573.79 / $846.51	Facility		$163.94	$573.79	$846.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.14 / $163.94 / $1,301.43	Professional		$125.14	$163.94	$1,301.43
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 $157.87 / $157.87 / $157.87	Professional		$157.87	$157.87	$157.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.08 / $298.94 / $671.52	Facility		$192.08	$298.94	$671.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.48 / $216.06 / $457.68	Professional		$88.48	$216.06	$457.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.43 / $273.24 / $497.38	Professional		$120.43	$273.24	$497.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $172.04 / $573.79 / $835.91	Facility		$172.04	$573.79	$835.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $145.72 / $172.04 / $835.91	Professional		$145.72	$172.04	$835.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $299.55 / $303.60 / $503.20	Professional		$299.55	$303.60	$503.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $197.09 / $336.73 / $671.52	Facility		$197.09	$336.73	$671.52
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $94.85 / $216.62 / $457.68	Professional		$94.85	$216.62	$457.68
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $202.40 / $202.40 / $211.33	Facility		$202.40	$202.40	$211.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $202.40 / $202.40 / $211.33	Professional		$202.40	$202.40	$211.33
United Facility/Professional Facility Modifier Low / Median / High Price $80.09 / $80.09 / $80.09	Facility		$80.09	$80.09	$80.09
United Facility/Professional Professional Modifier Low / Median / High Price $85.01 / $121.44 / $283.36	Professional		$85.01	$121.44	$283.36