Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.46 / $102.46 / $396.52	Facility		$102.46	$102.46	$396.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.28 / $113.36 / $130.91	Professional		$78.28	$113.36	$130.91
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 $189.58 / $248.97 / $248.97	Professional		$189.58	$248.97	$248.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.94 / $142.94 / $200.02	Facility		$142.94	$142.94	$200.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.35 / $104.35 / $175.15	Professional		$104.35	$104.35	$175.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $184.02 / $200.02 / $380.04	Professional		$184.02	$200.02	$380.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $102.46 / $102.46 / $396.52	Facility		$102.46	$102.46	$396.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $78.28 / $113.36 / $189.58	Professional		$78.28	$113.36	$189.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $135.50 / $272.80 / $394.10	Professional		$135.50	$272.80	$394.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $142.94 / $142.94 / $200.02	Facility		$142.94	$142.94	$200.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $104.35 / $104.35 / $282.75	Professional		$104.35	$104.35	$282.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $178.00 / $236.97 / $236.97	Facility		$178.00	$236.97	$236.97
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $178.00 / $236.97 / $236.97	Professional		$178.00	$236.97	$236.97
United Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $124.21 / $224.52	Professional		$84.57	$124.21	$224.52