Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.15 / $111.15 / $430.15	Facility		$111.15	$111.15	$430.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $130.06 / $180.33	Professional		$111.15	$130.06	$180.33
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 $194.40 / $221.81 / $221.81	Professional		$194.40	$221.81	$221.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.95 / $214.95 / $221.81	Facility		$214.95	$214.95	$221.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $156.91 / $256.13	Professional		$156.91	$156.91	$256.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $204.07 / $221.81 / $421.44	Professional		$204.07	$221.81	$421.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $111.15 / $111.15 / $430.15	Facility		$111.15	$111.15	$430.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $130.06 / $249.31	Professional		$111.15	$130.06	$249.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $133.69 / $328.28 / $535.29	Professional		$133.69	$328.28	$535.29
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $214.95 / $214.95 / $221.81	Facility		$214.95	$214.95	$221.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $156.91 / $256.13	Professional		$156.91	$156.91	$256.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $243.00 / $243.00 / $244.84	Facility		$243.00	$243.00	$244.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $243.00 / $243.00 / $246.24	Professional		$243.00	$243.00	$246.24
United Facility/Professional Professional Modifier Low / Median / High Price $133.09 / $170.84 / $299.20	Professional		$133.09	$170.84	$299.20