Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.66 / $65.66 / $254.10	Facility		$65.66	$65.66	$254.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.82 / $72.64 / $80.25	Professional		$49.82	$72.64	$80.25
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 $121.48 / $159.54 / $159.54	Professional		$121.48	$159.54	$159.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.21 / $104.21 / $127.29	Facility		$104.21	$104.21	$127.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $76.06 / $171.75	Professional		$76.06	$76.06	$171.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $117.11 / $127.29 / $241.85	Professional		$117.11	$127.29	$241.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $65.66 / $65.66 / $254.10	Facility		$65.66	$65.66	$254.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $49.82 / $72.64 / $87.54	Professional		$49.82	$72.64	$87.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $86.20 / $173.60 / $250.80	Professional		$86.20	$173.60	$250.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $104.21 / $104.21 / $127.29	Facility		$104.21	$104.21	$127.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $76.06 / $171.75	Professional		$76.06	$76.06	$171.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $114.06 / $151.85 / $151.85	Facility		$114.06	$151.85	$151.85
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $114.06 / $151.85 / $151.85	Professional		$114.06	$151.85	$151.85
United Facility/Professional Professional Modifier Low / Median / High Price $53.23 / $79.59 / $132.65	Professional		$53.23	$79.59	$132.65