Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.50 / $76.50 / $296.06	Facility		$76.50	$76.50	$296.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.92 / $78.12 / $100.61	Professional		$65.92	$78.12	$100.61
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 $141.54 / $185.88 / $185.88	Professional		$141.54	$185.88	$185.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.11 / $89.11 / $186.10	Facility		$89.11	$89.11	$186.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $65.05 / $164.02	Professional		$65.05	$65.05	$164.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $172.33 / $187.31 / $355.89	Professional		$172.33	$187.31	$355.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $76.50 / $76.50 / $296.06	Facility		$76.50	$76.50	$296.06
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $63.77 / $84.64 / $118.09	Professional		$63.77	$84.64	$118.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $126.80 / $255.50 / $369.00	Professional		$126.80	$255.50	$369.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $89.11 / $89.11 / $186.10	Facility		$89.11	$89.11	$186.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $65.05 / $217.13	Professional		$65.05	$65.05	$217.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $132.90 / $176.92 / $176.92	Facility		$132.90	$176.92	$176.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $132.90 / $176.92 / $178.29	Professional		$132.90	$176.92	$178.29
United Facility/Professional Professional Modifier Low / Median / High Price $63.37 / $92.73 / $167.63	Professional		$63.37	$92.73	$167.63