Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.35 / $62.35 / $241.29	Facility		$62.35	$62.35	$241.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.15 / $68.98 / $78.26	Professional		$52.15	$68.98	$78.26
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 $115.35 / $151.49 / $151.49	Professional		$115.35	$151.49	$151.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.45 / $80.45 / $133.26	Facility		$80.45	$80.45	$133.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $58.73 / $116.69	Professional		$58.73	$58.73	$116.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $122.60 / $133.26 / $253.19	Professional		$122.60	$133.26	$253.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $62.35 / $62.35 / $241.29	Facility		$62.35	$62.35	$241.29
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $52.15 / $68.98 / $84.02	Professional		$52.15	$68.98	$84.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $90.20 / $181.80 / $262.60	Professional		$90.20	$181.80	$262.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $80.45 / $80.45 / $133.26	Facility		$80.45	$80.45	$133.26
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $58.73 / $149.25	Professional		$58.73	$58.73	$149.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $108.31 / $144.19 / $144.19	Facility		$108.31	$144.19	$144.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $108.31 / $144.19 / $144.19	Professional		$108.31	$144.19	$144.19
United Facility/Professional Professional Modifier Low / Median / High Price $53.84 / $75.58 / $133.26	Professional		$53.84	$75.58	$133.26