Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.86 / $97.86 / $378.72	Facility		$97.86	$97.86	$378.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.87 / $108.27 / $150.51	Professional		$84.87	$108.27	$150.51
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 $181.06 / $237.77 / $237.77	Professional		$181.06	$237.77	$237.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.51 / $135.51 / $216.86	Facility		$135.51	$135.51	$216.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.92 / $98.92 / $189.89	Professional		$98.92	$98.92	$189.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $199.51 / $216.86 / $412.03	Professional		$199.51	$216.86	$412.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $97.86 / $97.86 / $378.72	Facility		$97.86	$97.86	$378.72
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $84.87 / $112.43 / $177.12	Professional		$84.87	$112.43	$177.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $146.80 / $295.80 / $427.30	Professional		$146.80	$295.80	$427.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $135.51 / $135.51 / $216.86	Facility		$135.51	$135.51	$216.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $98.92 / $98.92 / $262.88	Professional		$98.92	$98.92	$262.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $170.01 / $226.32 / $226.32	Facility		$170.01	$226.32	$226.32
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $170.01 / $226.32 / $226.32	Professional		$170.01	$226.32	$226.32
United Facility/Professional Professional Modifier Low / Median / High Price $91.70 / $125.04 / $214.45	Professional		$91.70	$125.04	$214.45