Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.95 / $71.95 / $114.22	Facility		$71.95	$71.95	$114.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.04 / $89.94 / $117.31	Professional		$51.04	$89.94	$117.31
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 $111.73 / $146.72 / $146.72	Professional		$111.73	$146.72	$146.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.15 / $88.15 / $88.15	Facility		$88.15	$88.15	$88.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.93 / $74.93 / $108.90	Professional		$74.93	$74.93	$108.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $134.99 / $146.72 / $278.79	Professional		$134.99	$146.72	$278.79
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $71.95 / $71.95 / $114.22	Facility		$71.95	$71.95	$114.22
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $61.97 / $89.94 / $138.76	Professional		$61.97	$89.94	$138.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $181.90 / $209.20 / $289.10	Professional		$181.90	$209.20	$289.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $88.15 / $88.15 / $88.15	Facility		$88.15	$88.15	$88.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $74.93 / $74.93 / $170.25	Professional		$74.93	$74.93	$170.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $127.71 / $139.66 / $139.66	Facility		$127.71	$139.66	$139.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $127.71 / $139.66 / $139.66	Professional		$127.71	$139.66	$139.66
United Facility/Professional Facility Modifier Low / Median / High Price $49.35 / $82.22 / $97.64	Facility		$49.35	$82.22	$97.64
United Facility/Professional Professional Modifier Low / Median / High Price $51.50 / $73.20 / $128.21	Professional		$51.50	$73.20	$128.21