Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.62 / $55.62 / $215.25	Facility		$55.62	$55.62	$215.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.63 / $63.90 / $85.79	Professional		$51.63	$63.90	$85.79
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 $102.90 / $135.13 / $135.13	Professional		$102.90	$135.13	$135.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.32 / $103.32 / $131.94	Facility		$103.32	$103.32	$131.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.42 / $75.42 / $115.53	Professional		$75.42	$75.42	$115.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $121.38 / $131.94 / $250.69	Professional		$121.38	$131.94	$250.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $55.62 / $55.62 / $215.25	Facility		$55.62	$55.62	$215.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $51.63 / $64.84 / $87.63	Professional		$51.63	$64.84	$87.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $89.40 / $179.90 / $259.89	Professional		$89.40	$179.90	$259.89
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $103.32 / $103.32 / $131.94	Facility		$103.32	$103.32	$131.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $75.42 / $75.42 / $185.25	Professional		$75.42	$75.42	$185.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $96.63 / $128.62 / $128.62	Facility		$96.63	$128.62	$128.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $96.63 / $128.62 / $152.04	Professional		$96.63	$128.62	$152.04
United Facility/Professional Professional Modifier Low / Median / High Price $54.85 / $68.09 / $121.87	Professional		$54.85	$68.09	$121.87