Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.60 / $87.60 / $339.01	Facility		$87.60	$87.60	$339.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $96.92 / $122.90	Professional		$71.98	$96.92	$122.90
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 $162.09 / $212.87 / $212.87	Professional		$162.09	$212.87	$212.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.95 / $111.95 / $183.93	Facility		$111.95	$111.95	$183.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.72 / $81.72 / $161.06	Professional		$81.72	$81.72	$161.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $169.22 / $183.93 / $349.47	Professional		$169.22	$183.93	$349.47
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $87.60 / $87.60 / $339.01	Facility		$87.60	$87.60	$339.01
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $100.65 / $130.66	Professional		$71.98	$100.65	$130.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $124.50 / $250.80 / $362.40	Professional		$124.50	$250.80	$362.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $111.95 / $111.95 / $183.93	Facility		$111.95	$111.95	$183.93
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $81.72 / $81.72 / $265.13	Professional		$81.72	$81.72	$265.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $152.19 / $202.61 / $202.61	Facility		$152.19	$202.61	$202.61
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $152.19 / $202.61 / $217.79	Professional		$152.19	$202.61	$217.79
United Facility/Professional Professional Modifier Low / Median / High Price $73.98 / $106.20 / $183.93	Professional		$73.98	$106.20	$183.93