Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.72 / $132.56 / $1,480.00	Facility		$84.72	$132.56	$1,480.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.09 / $104.79 / $371.00	Professional		$83.09	$104.79	$371.00
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 $89.36 / $125.64 / $202.19	Professional		$89.36	$125.64	$202.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.95 / $117.95 / $117.95	Facility		$117.95	$117.95	$117.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.55 / $118.11 / $189.16	Professional		$83.55	$118.11	$189.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $88.69 / $133.41 / $323.99	Professional		$88.69	$133.41	$323.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $84.72 / $187.15 / $1,980.00	Facility		$84.72	$187.15	$1,980.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $85.78 / $120.50 / $371.00	Professional		$85.78	$120.50	$371.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.20 / $185.90 / $271.60	Professional		$63.20	$185.90	$271.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $117.95 / $117.95 / $117.95	Facility		$117.95	$117.95	$117.95
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $83.10 / $117.44 / $193.14	Professional		$83.10	$117.44	$193.14
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $85.38 / $108.17 / $122.40	Facility		$85.38	$108.17	$122.40
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $85.38 / $108.17 / $122.40	Professional		$85.38	$108.17	$122.40
United Facility/Professional Professional Modifier Low / Median / High Price $91.35 / $118.63 / $206.09	Professional		$91.35	$118.63	$206.09