Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.14 / $74.14 / $286.92	Facility		$74.14	$74.14	$286.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.50 / $84.13 / $118.88	Professional		$70.50	$84.13	$118.88
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 $137.16 / $180.14 / $180.14	Professional		$137.16	$180.14	$180.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.53 / $116.53 / $180.14	Facility		$116.53	$116.53	$180.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $85.07 / $208.88	Professional		$85.07	$85.07	$208.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $165.73 / $180.14 / $342.27	Professional		$165.73	$180.14	$342.27
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $74.14 / $74.14 / $286.92	Facility		$74.14	$74.14	$286.92
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $70.50 / $86.76 / $150.08	Professional		$70.50	$86.76	$150.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.80 / $74.70 / $354.90	Professional		$56.80	$74.70	$354.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $116.53 / $116.53 / $180.14	Facility		$116.53	$116.53	$180.14
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $85.07 / $208.88	Professional		$85.07	$85.07	$208.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $128.80 / $171.46 / $171.46	Facility		$128.80	$171.46	$171.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $128.80 / $171.46 / $171.46	Professional		$128.80	$171.46	$171.46
United Facility/Professional Facility Modifier Low / Median / High Price $91.72 / $91.72 / $91.72	Facility		$91.72	$91.72	$91.72
United Facility/Professional Professional Modifier Low / Median / High Price $75.31 / $90.02 / $157.40	Professional		$75.31	$90.02	$157.40