Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.75 / $184.16 / $184.16	Facility		$145.75	$184.16	$184.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.75 / $176.28 / $223.16	Professional		$145.75	$176.28	$223.16
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 $159.87 / $280.42 / $347.91	Professional		$159.87	$280.42	$347.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.12 / $193.12 / $193.12	Facility		$193.12	$193.12	$193.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $149.69 / $149.69	Professional		$149.69	$149.69	$149.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $208.25 / $264.66 / $283.13	Professional		$208.25	$264.66	$283.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $184.16 / $184.16 / $184.16	Facility		$184.16	$184.16	$184.16
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $145.75 / $176.35 / $1,055.01	Professional		$145.75	$176.35	$1,055.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $100.90 / $253.69 / $342.82	Professional		$100.90	$253.69	$342.82
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $193.12 / $193.12 / $193.12	Facility		$193.12	$193.12	$193.12
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $149.69 / $149.69	Professional		$149.69	$149.69	$149.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $166.92 / $166.92 / $195.87	Facility		$166.92	$166.92	$195.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $163.28 / $166.92 / $195.87	Professional		$163.28	$166.92	$195.87
United Facility/Professional Professional Modifier Low / Median / High Price $143.28 / $204.16 / $348.40	Professional		$143.28	$204.16	$348.40