Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.17 / $48.17 / $186.42	Facility		$48.17	$48.17	$186.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.80 / $53.29 / $63.50	Professional		$45.80	$53.29	$63.50
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 $89.12 / $117.04 / $117.04	Professional		$89.12	$117.04	$117.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $75.70 / $117.04	Facility		$75.70	$75.70	$117.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.27 / $55.27 / $135.75	Professional		$55.27	$55.27	$135.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $107.68 / $117.04 / $222.38	Professional		$107.68	$117.04	$222.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $48.17 / $48.17 / $186.42	Facility		$48.17	$48.17	$186.42
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $55.34 / $73.13	Professional		$45.79	$55.34	$73.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $166.90 / $230.60	Professional		$45.00	$166.90	$230.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $75.70 / $117.04	Facility		$75.70	$75.70	$117.04
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $55.27 / $55.27 / $135.75	Professional		$55.27	$55.27	$135.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $83.67 / $111.40 / $111.40	Facility		$83.67	$111.40	$111.40
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $83.67 / $111.40 / $111.40	Professional		$83.67	$111.40	$111.40
United Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $58.39 / $105.54	Professional		$47.50	$58.39	$105.54