Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.79 / $138.79 / $537.12	Facility		$138.79	$138.79	$537.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.97 / $153.55 / $195.99	Professional		$131.97	$153.55	$195.99
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 $256.77 / $337.23 / $337.23	Professional		$256.77	$337.23	$337.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.91 / $192.91 / $337.23	Facility		$192.91	$192.91	$337.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.82 / $140.82 / $295.29	Professional		$140.82	$140.82	$295.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $310.25 / $337.23 / $640.74	Professional		$310.25	$337.23	$640.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $138.79 / $138.79 / $537.12	Facility		$138.79	$138.79	$537.12
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $131.97 / $159.46 / $269.77	Professional		$131.97	$159.46	$269.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $418.10 / $480.80 / $664.40	Professional		$418.10	$480.80	$664.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $192.91 / $192.91 / $337.23	Facility		$192.91	$192.91	$337.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $140.82 / $140.82 / $400.50	Professional		$140.82	$140.82	$400.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $241.10 / $320.98 / $320.98	Facility		$241.10	$320.98	$320.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $241.10 / $320.98 / $328.85	Professional		$241.10	$320.98	$328.85
United Facility/Professional Professional Modifier Low / Median / High Price $129.09 / $168.94 / $280.39	Professional		$129.09	$168.94	$280.39