Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.38 / $87.38 / $338.16	Facility		$87.38	$87.38	$338.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.98 / $96.67 / $109.91	Professional		$72.98	$96.67	$109.91
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 $161.66 / $212.31 / $212.31	Professional		$161.66	$212.31	$212.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.06 / $120.06 / $186.50	Facility		$120.06	$120.06	$186.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $87.64 / $163.30	Professional		$87.64	$87.64	$163.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $171.58 / $186.50 / $354.35	Professional		$171.58	$186.50	$354.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $87.38 / $87.38 / $338.16	Facility		$87.38	$87.38	$338.16
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $71.29 / $96.67 / $128.84	Professional		$71.29	$96.67	$128.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $126.30 / $254.40 / $367.40	Professional		$126.30	$254.40	$367.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $120.06 / $120.06 / $186.50	Facility		$120.06	$120.06	$186.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $87.64 / $215.25	Professional		$87.64	$87.64	$215.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $151.79 / $202.08 / $202.08	Facility		$151.79	$202.08	$202.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $151.79 / $202.08 / $202.08	Professional		$151.79	$202.08	$202.08
United Facility/Professional Professional Modifier Low / Median / High Price $70.62 / $105.92 / $185.51	Professional		$70.62	$105.92	$185.51