Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.59 / $76.68 / $196.84	Facility		$69.59	$76.68	$196.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.77 / $69.70 / $115.35	Professional		$57.77	$69.70	$115.35
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $57,255.43 / $79,506.39	Facility		$5,000.00	$57,255.43	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $64.45 / $75.83 / $129.97	Professional		$64.45	$75.83	$129.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $95.00	Facility		$65.00	$65.00	$95.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.92 / $92.94 / $146.66	Professional		$56.92	$92.94	$146.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $80.73 / $109.42 / $110.00	Professional		$80.73	$109.42	$110.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $76.68 / $116.55 / $227.73	Facility		$76.68	$116.55	$227.73
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $60.99 / $72.44 / $227.73	Professional		$60.99	$72.44	$227.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.30 / $131.40 / $182.80	Professional		$109.30	$131.40	$182.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $95.00	Facility		$65.00	$65.00	$95.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $57.91 / $89.62 / $146.66	Professional		$57.91	$89.62	$146.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $70.48 / $93.00 / $100.00	Facility		$70.48	$93.00	$100.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $69.08 / $73.79 / $100.00	Professional		$69.08	$73.79	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.81 / $86.37 / $144.62	Professional		$63.81	$86.37	$144.62