Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.31 / $104.31 / $403.68	Facility		$104.31	$104.31	$403.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.19 / $115.41 / $140.19	Professional		$99.19	$115.41	$140.19
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 $193.00 / $253.46 / $253.46	Professional		$193.00	$253.46	$253.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $168.00 / $253.46	Facility		$168.00	$168.00	$253.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.64 / $122.64 / $301.13	Professional		$122.64	$122.64	$301.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $233.18 / $253.46 / $481.57	Professional		$233.18	$253.46	$481.57
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $104.31 / $104.31 / $403.68	Facility		$104.31	$104.31	$403.68
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $99.19 / $119.85 / $164.78	Professional		$99.19	$119.85	$164.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $314.30 / $361.40 / $499.40	Professional		$314.30	$361.40	$499.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $168.00 / $253.46	Facility		$168.00	$168.00	$253.46
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $122.64 / $122.64 / $301.13	Professional		$122.64	$122.64	$301.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $181.22 / $241.25 / $241.25	Facility		$181.22	$241.25	$241.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $241.25 / $247.18	Professional		$181.22	$241.25	$247.18
United Facility/Professional Professional Modifier Low / Median / High Price $96.45 / $127.71 / $228.58	Professional		$96.45	$127.71	$228.58