Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.97 / $119.62 / $751.00	Facility		$63.97	$119.62	$751.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.18 / $72.48 / $104.67	Professional		$60.18	$72.48	$104.67
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $128.13 / $5,000.00 / $77,850.02	Facility		$128.13	$5,000.00	$77,850.02
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $66.22 / $68.72 / $142.29	Professional		$66.22	$68.72	$142.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.68 / $95.68 / $175.85	Facility		$46.68	$95.68	$175.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.68 / $95.34 / $159.26	Professional		$67.68	$95.34	$159.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $155.27 / $155.27 / $155.27	Facility		$155.27	$155.27	$155.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.33 / $106.45 / $139.32	Professional		$81.33	$106.45	$139.32
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $67.17 / $350.00 / $751.00	Facility		$67.17	$350.00	$751.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $60.18 / $75.43 / $173.00	Professional		$60.18	$75.43	$173.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $23.40 / $23.40 / $23.40	Facility		$23.40	$23.40	$23.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $105.77 / $207.10	Professional		$23.40	$105.77	$207.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $46.68 / $81.28 / $175.85	Facility		$46.68	$81.28	$175.85
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $67.68 / $94.48 / $162.43	Professional		$67.68	$94.48	$162.43
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $69.27 / $69.27 / $568.23	Facility		$69.27	$69.27	$568.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $68.08 / $69.27 / $99.41	Professional		$68.08	$69.27	$99.41
United Facility/Professional Professional Modifier Low / Median / High Price $62.47 / $80.78 / $139.16	Professional		$62.47	$80.78	$139.16