Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $245.47 / $457.09	Facility		$81.28	$245.47	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $67.61 / $93.33	Professional		$51.29	$67.61	$93.33
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $97.72 / $281.84	Facility		$2.45	$97.72	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $48.98 / $134.90	Professional		$28.18	$48.98	$134.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $104.71 / $169.82	Professional		$83.18	$104.71	$169.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $229.09 / $457.09	Facility		$89.13	$229.09	$457.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $67.61 / $102.33	Professional		$52.48	$67.61	$102.33
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $102.33 / $102.33	Facility		$100.00	$102.33	$102.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $102.33	Professional		$100.00	$100.00	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $489.78 / $602.56	Facility		$257.04	$489.78	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $38.90 / $79.43	Professional		$24.55	$38.90	$79.43