Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.03 / $121.03 / $468.39	Facility		$121.03	$121.03	$468.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.08 / $141.63 / $159.59	Professional		$102.08	$141.63	$159.59
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 $223.92 / $294.07 / $294.07	Professional		$223.92	$294.07	$294.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.78 / $190.78 / $260.83	Facility		$190.78	$190.78	$260.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.27 / $139.27 / $228.40	Professional		$139.27	$139.27	$228.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $239.97 / $260.83 / $495.60	Professional		$239.97	$260.83	$495.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $121.03 / $121.03 / $468.39	Facility		$121.03	$121.03	$468.39
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $88.80 / $141.63 / $175.20	Professional		$88.80	$141.63	$175.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $176.60 / $355.70 / $513.90	Professional		$176.60	$355.70	$513.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $190.78 / $190.78 / $260.83	Facility		$190.78	$190.78	$260.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $139.27 / $139.27 / $344.63	Professional		$139.27	$139.27	$344.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $210.24 / $279.89 / $279.89	Facility		$210.24	$279.89	$279.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $210.24 / $279.89 / $282.82	Professional		$210.24	$279.89	$282.82
United Facility/Professional Professional Modifier Low / Median / High Price $110.29 / $146.71 / $260.83	Professional		$110.29	$146.71	$260.83