Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.03 / $140.03 / $541.91	Facility		$140.03	$140.03	$541.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.90 / $154.93 / $183.49	Professional		$113.90	$154.93	$183.49
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 $259.08 / $340.25 / $340.25	Professional		$259.08	$340.25	$340.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.86 / $181.86 / $291.04	Facility		$181.86	$181.86	$291.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.76 / $132.76 / $254.85	Professional		$132.76	$132.76	$254.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $267.76 / $291.04 / $552.98	Professional		$267.76	$291.04	$552.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $140.03 / $140.03 / $541.91	Facility		$140.03	$140.03	$541.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $113.90 / $160.88 / $221.80	Professional		$113.90	$160.88	$221.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $360.80 / $415.00 / $573.40	Professional		$360.80	$415.00	$573.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $181.86 / $181.86 / $291.04	Facility		$181.86	$181.86	$291.04
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $132.76 / $132.76 / $373.50	Professional		$132.76	$132.76	$373.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $243.28 / $323.86 / $323.86	Facility		$243.28	$323.86	$323.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $243.28 / $323.86 / $323.86	Professional		$243.28	$323.86	$323.86
United Facility/Professional Facility Modifier Low / Median / High Price $111.88 / $143.90 / $189.98	Facility		$111.88	$143.90	$189.98
United Facility/Professional Professional Modifier Low / Median / High Price $123.06 / $169.75 / $282.91	Professional		$123.06	$169.75	$282.91