Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.38 / $226.71 / $371.26	Facility		$67.38	$226.71	$371.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.53 / $67.38 / $81.55	Professional		$45.53	$67.38	$81.55
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 $2.46 / $94.33 / $274.91	Facility		$2.46	$94.33	$274.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $52.38 / $133.19	Professional		$28.16	$52.38	$133.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $248.09 / $248.09 / $248.09	Facility		$248.09	$248.09	$248.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $82.70 / $103.96 / $199.66	Professional		$82.70	$103.96	$199.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $81.55 / $226.71 / $371.26	Facility		$81.55	$226.71	$371.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $51.23 / $67.38 / $128.02	Professional		$51.23	$67.38	$128.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $86.40 / $185.60 / $185.60	Professional		$86.40	$185.60	$185.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3.03 / $94.33 / $274.91	Facility		$3.03	$94.33	$274.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $52.58 / $132.31	Professional		$28.20	$52.58	$132.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $100.24 / $100.24 / $103.25	Facility		$100.24	$100.24	$103.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $100.24 / $100.24 / $103.25	Professional		$100.24	$100.24	$103.25
United Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $41.74 / $93.08	Professional		$23.57	$41.74	$93.08