Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.10 / $900.67 / $961.11	Facility		$203.10	$900.67	$961.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.36 / $174.43 / $1,579.08	Professional		$161.36	$174.43	$1,579.08
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 $225.06 / $233.55 / $370.87	Professional		$225.06	$233.55	$370.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.49 / $176.73 / $488.31	Facility		$111.49	$176.73	$488.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.86 / $158.85 / $382.92	Professional		$106.86	$158.85	$382.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $144.83 / $332.77 / $440.38	Professional		$144.83	$332.77	$440.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $203.10 / $710.85 / $941.92	Facility		$203.10	$710.85	$941.92
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $161.36 / $222.22 / $907.98	Professional		$161.36	$222.22	$907.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.03 / $193.73 / $387.60	Professional		$104.03	$193.73	$387.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $116.18 / $198.85 / $488.31	Facility		$116.18	$198.85	$488.31
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $106.86 / $170.49 / $414.87	Professional		$106.86	$170.49	$414.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $199.86 / $219.85 / $219.85	Facility		$199.86	$219.85	$219.85
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $199.86 / $219.85 / $235.46	Professional		$199.86	$219.85	$235.46
United Facility/Professional Professional Modifier Low / Median / High Price $131.82 / $222.77 / $388.55	Professional		$131.82	$222.77	$388.55