Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.93 / $82.93 / $320.94	Facility		$82.93	$82.93	$320.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.86 / $91.75 / $113.36	Professional		$67.86	$91.75	$113.36
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 $153.43 / $201.50 / $201.50	Professional		$153.43	$201.50	$201.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.01 / $144.01 / $173.41	Facility		$144.01	$144.01	$173.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.13 / $105.13 / $151.85	Professional		$105.13	$105.13	$151.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $159.54 / $173.41 / $329.48	Professional		$159.54	$173.41	$329.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $82.93 / $82.93 / $320.94	Facility		$82.93	$82.93	$320.94
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $67.86 / $95.28 / $138.13	Professional		$67.86	$95.28	$138.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $117.40 / $236.50 / $341.70	Professional		$117.40	$236.50	$341.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $144.01 / $144.01 / $173.41	Facility		$144.01	$144.01	$173.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $105.13 / $105.13 / $244.50	Professional		$105.13	$105.13	$244.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $144.06 / $191.79 / $191.79	Facility		$144.06	$191.79	$191.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $144.06 / $191.79 / $200.88	Professional		$144.06	$191.79	$200.88
United Facility/Professional Professional Modifier Low / Median / High Price $72.51 / $100.52 / $167.54	Professional		$72.51	$100.52	$167.54