Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.27 / $66.27 / $256.47	Facility		$66.27	$66.27	$256.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.24 / $73.31 / $83.19	Professional		$54.24	$73.31	$83.19
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 $122.62 / $161.03 / $161.03	Professional		$122.62	$161.03	$161.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.65 / $89.65 / $138.60	Facility		$89.65	$89.65	$138.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $65.44 / $121.36	Professional		$65.44	$65.44	$121.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $127.51 / $138.60 / $263.33	Professional		$127.51	$138.60	$263.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $66.27 / $66.27 / $256.47	Facility		$66.27	$66.27	$256.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $54.24 / $73.31 / $90.17	Professional		$54.24	$73.31	$90.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $93.80 / $189.00 / $273.10	Professional		$93.80	$189.00	$273.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $89.65 / $89.65 / $138.60	Facility		$89.65	$89.65	$138.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $65.44 / $160.50	Professional		$65.44	$65.44	$160.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $115.13 / $153.27 / $153.27	Facility		$115.13	$153.27	$153.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $115.13 / $153.27 / $153.27	Professional		$115.13	$153.27	$153.27
United Facility/Professional Professional Modifier Low / Median / High Price $57.62 / $80.33 / $138.60	Professional		$57.62	$80.33	$138.60