Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.29 / $123.29 / $477.13	Facility		$123.29	$123.29	$477.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.16 / $136.41 / $181.91	Professional		$100.16	$136.41	$181.91
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 $228.11 / $299.57 / $299.57	Professional		$228.11	$299.57	$299.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.91 / $159.91 / $255.93	Facility		$159.91	$159.91	$255.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.74 / $116.74 / $392.63	Professional		$116.74	$116.74	$392.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $235.46 / $255.93 / $486.27	Professional		$235.46	$255.93	$486.27
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $123.29 / $123.29 / $477.13	Facility		$123.29	$123.29	$477.13
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $100.16 / $141.65 / $217.62	Professional		$100.16	$141.65	$217.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $173.30 / $349.10 / $504.20	Professional		$173.30	$349.10	$504.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $159.91 / $159.91 / $255.93	Facility		$159.91	$159.91	$255.93
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $116.74 / $116.74 / $392.63	Professional		$116.74	$116.74	$392.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $214.18 / $285.14 / $285.14	Facility		$214.18	$285.14	$285.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $214.18 / $285.14 / $322.37	Professional		$214.18	$285.14	$322.37
United Facility/Professional Professional Modifier Low / Median / High Price $106.40 / $149.44 / $255.93	Professional		$106.40	$149.44	$255.93