Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.51 / $103.96 / $169.38	Facility		$94.51	$103.96	$169.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.06 / $94.51 / $106.36	Professional		$85.06	$94.51	$106.36
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 $85.17 / $100.20 / $194.75	Professional		$85.17	$100.20	$194.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $98.39	Facility		$65.00	$65.00	$98.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.08 / $107.09 / $174.68	Professional		$77.08	$107.09	$174.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $106.54 / $110.00 / $143.93	Professional		$106.54	$110.00	$143.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $103.96 / $169.38	Facility		$65.00	$103.96	$169.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $87.83 / $97.34 / $147.44	Professional		$87.83	$97.34	$147.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $118.00 / $247.50	Professional		$91.20	$118.00	$247.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $98.39	Facility		$65.00	$65.00	$98.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $77.17 / $107.44 / $173.94	Professional		$77.17	$107.44	$173.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $95.57 / $95.57 / $116.49	Facility		$95.57	$95.57	$116.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $93.36 / $95.57 / $116.49	Professional		$93.36	$95.57	$116.49
United Facility/Professional Facility Modifier Low / Median / High Price $105.14 / $105.14 / $105.14	Facility		$105.14	$105.14	$105.14
United Facility/Professional Professional Modifier Low / Median / High Price $69.06 / $104.39 / $189.26	Professional		$69.06	$104.39	$189.26