Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.12 / $69.12 / $267.49	Facility		$69.12	$69.12	$267.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.68 / $76.83 / $100.45	Professional		$59.68	$76.83	$100.45
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 $127.90 / $167.97 / $167.97	Professional		$127.90	$167.97	$167.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.63 / $132.63 / $152.49	Facility		$132.63	$132.63	$152.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.83 / $96.83 / $136.62	Professional		$96.83	$96.83	$136.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $140.29 / $152.49 / $289.73	Professional		$140.29	$152.49	$289.73
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $69.12 / $69.12 / $267.49	Facility		$69.12	$69.12	$267.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $59.68 / $80.89 / $107.68	Professional		$59.68	$80.89	$107.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $103.30 / $208.00 / $300.39	Professional		$103.30	$208.00	$300.39
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $132.63 / $132.63 / $152.49	Facility		$132.63	$132.63	$152.49
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $96.83 / $96.83 / $216.75	Professional		$96.83	$96.83	$216.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $120.08 / $159.87 / $159.87	Facility		$120.08	$159.87	$159.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $120.08 / $159.87 / $178.00	Professional		$120.08	$159.87	$178.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.99 / $84.71 / $151.46	Professional		$62.99	$84.71	$151.46