Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.68 / $84.68 / $327.71	Facility		$84.68	$84.68	$327.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.09 / $93.69 / $112.67	Professional		$81.09	$93.69	$112.67
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 $156.69 / $205.77 / $205.77	Professional		$156.69	$205.77	$205.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.05 / $147.05 / $207.20	Facility		$147.05	$147.05	$207.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.35 / $107.35 / $241.88	Professional		$107.35	$107.35	$241.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $190.62 / $207.20 / $393.68	Professional		$190.62	$207.20	$393.68
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $84.68 / $84.68 / $327.71	Facility		$84.68	$84.68	$327.71
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $81.09 / $97.30 / $132.44	Professional		$81.09	$97.30	$132.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $256.89 / $295.39 / $408.20	Professional		$256.89	$295.39	$408.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $147.05 / $147.05 / $207.20	Facility		$147.05	$147.05	$207.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $107.35 / $107.35 / $241.88	Professional		$107.35	$107.35	$241.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $147.12 / $195.86 / $195.86	Facility		$147.12	$195.86	$195.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $147.12 / $195.86 / $198.68	Professional		$147.12	$195.86	$198.68
United Facility/Professional Professional Modifier Low / Median / High Price $78.01 / $103.69 / $179.79	Professional		$78.01	$103.69	$179.79