Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.56 / $78.56 / $304.07	Facility		$78.56	$78.56	$304.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $90.27 / $136.71	Professional		$74.70	$90.27	$136.71
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 $145.36 / $190.90 / $190.90	Professional		$145.36	$190.90	$190.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.29 / $119.29 / $190.90	Facility		$119.29	$119.29	$190.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $87.08 / $295.13	Professional		$87.08	$87.08	$295.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $175.63 / $190.90 / $362.71	Professional		$175.63	$190.90	$362.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $78.56 / $78.56 / $304.07	Facility		$78.56	$78.56	$304.07
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $90.27 / $145.36	Professional		$74.70	$90.27	$145.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $129.19 / $260.39 / $376.10	Professional		$129.19	$260.39	$376.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $119.29 / $119.29 / $190.90	Facility		$119.29	$119.29	$190.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $87.08 / $295.13	Professional		$87.08	$87.08	$295.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $136.49 / $181.70 / $181.70	Facility		$136.49	$181.70	$181.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $136.49 / $181.70 / $242.27	Professional		$136.49	$181.70	$242.27
United Facility/Professional Professional Modifier Low / Median / High Price $80.72 / $98.10 / $172.15	Professional		$80.72	$98.10	$172.15