Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.64 / $91.64 / $354.65	Facility		$91.64	$91.64	$354.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.81 / $101.39 / $121.42	Professional		$83.81	$101.39	$121.42
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 $169.55 / $222.67 / $222.67	Professional		$169.55	$222.67	$222.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.23 / $126.23 / $245.07	Facility		$126.23	$126.23	$245.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.15 / $92.15 / $213.38	Professional		$92.15	$92.15	$213.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $225.46 / $245.07 / $465.63	Professional		$225.46	$245.07	$465.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $91.64 / $91.64 / $354.65	Facility		$91.64	$91.64	$354.65
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $91.13 / $105.29 / $130.63	Professional		$91.13	$105.29	$130.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $165.90 / $334.20 / $482.80	Professional		$165.90	$334.20	$482.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $126.23 / $126.23 / $245.07	Facility		$126.23	$126.23	$245.07
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $92.15 / $92.15 / $213.38	Professional		$92.15	$92.15	$213.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $159.21 / $211.94 / $211.94	Facility		$159.21	$211.94	$211.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $159.21 / $211.94 / $233.26	Professional		$159.21	$211.94	$233.26
United Facility/Professional Professional Modifier Low / Median / High Price $76.84 / $111.09 / $185.15	Professional		$76.84	$111.09	$185.15