Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.08 / $125.08 / $484.06	Facility		$125.08	$125.08	$484.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.94 / $143.71 / $184.64	Professional		$118.94	$143.71	$184.64
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 $231.42 / $303.93 / $303.93	Professional		$231.42	$303.93	$303.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.91 / $189.91 / $303.93	Facility		$189.91	$189.91	$303.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $138.63 / $266.13	Professional		$138.63	$138.63	$266.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $279.62 / $303.93 / $577.47	Professional		$279.62	$303.93	$577.47
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $125.08 / $125.08 / $484.06	Facility		$125.08	$125.08	$484.06
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $118.94 / $143.71 / $212.92	Professional		$118.94	$143.71	$212.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.70 / $158.60 / $598.79	Professional		$120.70	$158.60	$598.79
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $189.91 / $189.91 / $303.93	Facility		$189.91	$189.91	$303.93
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $138.63 / $398.63	Professional		$138.63	$138.63	$398.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $217.29 / $289.27 / $289.27	Facility		$217.29	$289.27	$289.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $217.29 / $289.27 / $327.19	Professional		$217.29	$289.27	$327.19
United Facility/Professional Professional Modifier Low / Median / High Price $137.04 / $151.87 / $274.08	Professional		$137.04	$151.87	$274.08