Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.99 / $62.99 / $243.77	Facility		$62.99	$62.99	$243.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.62 / $69.70 / $89.00	Professional		$54.62	$69.70	$89.00
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 $116.55 / $153.07 / $153.07	Professional		$116.55	$153.07	$153.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.28 / $90.28 / $139.56	Facility		$90.28	$90.28	$139.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $65.90 / $122.20	Professional		$65.90	$65.90	$122.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $128.40 / $139.56 / $265.16	Professional		$128.40	$139.56	$265.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $62.99 / $62.99 / $243.77	Facility		$62.99	$62.99	$243.77
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $54.62 / $72.38 / $116.27	Professional		$54.62	$72.38	$116.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $94.50 / $181.70 / $274.89	Professional		$94.50	$181.70	$274.89
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $90.28 / $90.28 / $139.56	Facility		$90.28	$90.28	$139.56
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $65.90 / $161.63	Professional		$65.90	$65.90	$161.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $109.43 / $145.69 / $145.69	Facility		$109.43	$145.69	$145.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $109.43 / $145.69 / $145.69	Professional		$109.43	$145.69	$145.69
United Facility/Professional Professional Modifier Low / Median / High Price $58.36 / $76.68 / $138.04	Professional		$58.36	$76.68	$138.04