Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.83 / $99.83 / $386.34	Facility		$99.83	$99.83	$386.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.32 / $116.82 / $158.56	Professional		$98.32	$116.82	$158.56
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 $175.06 / $190.32 / $190.32	Professional		$175.06	$190.32	$190.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.32 / $211.82 / $211.82	Facility		$190.32	$211.82	$211.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.63 / $154.63 / $246.38	Professional		$154.63	$154.63	$246.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $175.09 / $190.32 / $361.61	Professional		$175.09	$190.32	$361.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $99.83 / $99.83 / $386.34	Facility		$99.83	$99.83	$386.34
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $98.32 / $116.82 / $197.95	Professional		$98.32	$116.82	$197.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $392.90 / $477.90 / $477.90	Professional		$392.90	$477.90	$477.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $190.32 / $211.82 / $211.82	Facility		$190.32	$211.82	$211.82
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $154.63 / $154.63 / $248.84	Professional		$154.63	$154.63	$248.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $218.83 / $218.83 / $245.45	Facility		$218.83	$218.83	$245.45
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $216.29 / $218.83 / $245.45	Professional		$216.29	$218.83	$245.45
United Facility/Professional Professional Modifier Low / Median / High Price $120.82 / $171.55 / $304.77	Professional		$120.82	$171.55	$304.77