Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.84 / $576.94 / $851.12	Facility		$164.84	$576.94	$851.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.47 / $164.84 / $1,308.51	Professional		$145.47	$164.84	$1,308.51
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 $158.72 / $158.72 / $158.72	Professional		$158.72	$158.72	$158.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.13 / $300.39 / $674.78	Facility		$193.13	$300.39	$674.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.36 / $217.51 / $459.90	Professional		$95.36	$217.51	$459.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $121.08 / $274.73 / $420.52	Professional		$121.08	$274.73	$420.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $172.98 / $576.94 / $840.46	Facility		$172.98	$576.94	$840.46
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $146.52 / $172.98 / $840.46	Professional		$146.52	$172.98	$840.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $301.18 / $305.25 / $407.00	Professional		$301.18	$305.25	$407.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $198.04 / $338.57 / $674.78	Facility		$198.04	$338.57	$674.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $102.78 / $217.67 / $459.90	Professional		$102.78	$217.67	$459.90
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $203.50 / $203.50 / $245.67	Facility		$203.50	$203.50	$245.67
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $203.50 / $203.50 / $245.67	Professional		$203.50	$203.50	$245.67
United Facility/Professional Professional Modifier Low / Median / High Price $85.47 / $122.10 / $372.41	Professional		$85.47	$122.10	$372.41