Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.38 / $515.98 / $524.16	Facility		$78.38	$515.98	$524.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.54 / $86.72 / $105.33	Professional		$74.54	$86.72	$105.33
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 $145.02 / $190.45 / $190.45	Professional		$145.02	$190.45	$190.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.22 / $112.22 / $190.45	Facility		$112.22	$112.22	$190.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $81.92 / $226.13	Professional		$81.92	$81.92	$226.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $175.21 / $190.45 / $361.86	Professional		$175.21	$190.45	$361.86
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $303.33 / $515.98 / $524.16	Facility		$303.33	$515.98	$524.16
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $74.54 / $90.06 / $122.57	Professional		$74.54	$90.06	$122.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $89.60 / $375.20	Professional		$68.20	$89.60	$375.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $112.22 / $112.22 / $190.45	Facility		$112.22	$112.22	$190.45
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $81.92 / $228.39	Professional		$81.92	$81.92	$228.39
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $136.16 / $181.28 / $181.28	Facility		$136.16	$181.28	$181.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $136.16 / $181.28 / $185.75	Professional		$136.16	$181.28	$185.75
United Facility/Professional Professional Modifier Low / Median / High Price $72.91 / $95.02 / $166.40	Professional		$72.91	$95.02	$166.40