Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.04 / $147.02 / $264.01	Facility		$111.04	$147.02	$264.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.38 / $99.72 / $140.47	Professional		$87.38	$99.72	$140.47
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 $90.78 / $106.80 / $196.00	Professional		$90.78	$106.80	$196.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $75.00 / $111.92	Facility		$65.00	$75.00	$111.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.39 / $114.40 / $184.05	Professional		$80.39	$114.40	$184.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $114.09 / $156.36	Professional		$110.00	$114.09	$156.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $111.04 / $147.02 / $264.01	Facility		$111.04	$147.02	$264.01
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $93.42 / $102.71 / $172.92	Professional		$93.42	$102.71	$172.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $174.40 / $211.50 / $267.80	Professional		$174.40	$211.50	$267.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $75.00 / $111.92	Facility		$65.00	$75.00	$111.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $77.48 / $114.81 / $194.19	Professional		$77.48	$114.81	$194.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $57.51 / $77.66 / $100.75	Facility		$57.51	$77.66	$100.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $100.75 / $106.37	Professional		$57.51	$100.75	$106.37
United Facility/Professional Professional Modifier Low / Median / High Price $70.58 / $110.83 / $187.69	Professional		$70.58	$110.83	$187.69