Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.76 / $301.99 / $494.58	Facility		$89.76	$301.99	$494.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.62 / $89.76 / $108.63	Professional		$60.62	$89.76	$108.63
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 $86.24 / $86.24 / $86.24	Professional		$86.24	$86.24	$86.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.29 / $125.64 / $366.19	Facility		$3.29	$125.64	$366.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.53 / $69.73 / $165.34	Professional		$36.53	$69.73	$165.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $225.54 / $225.54 / $225.54	Facility		$225.54	$225.54	$225.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $75.18 / $94.51 / $181.51	Professional		$75.18	$94.51	$181.51
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $108.63 / $301.99 / $494.58	Facility		$108.63	$301.99	$494.58
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $68.40 / $89.76 / $151.94	Professional		$68.40	$89.76	$151.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $115.10 / $185.60 / $185.60	Professional		$115.10	$185.60	$185.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $125.64 / $366.19	Facility		$4.05	$125.64	$366.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $36.96 / $69.98 / $157.47	Professional		$36.96	$69.98	$157.47
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $90.22 / $90.22 / $224.39	Facility		$90.22	$90.22	$224.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $90.22 / $90.22 / $224.39	Professional		$90.22	$90.22	$224.39
United Facility/Professional Professional Modifier Low / Median / High Price $32.88 / $55.12 / $122.62	Professional		$32.88	$55.12	$122.62