Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.94 / $108.94 / $421.60	Facility		$108.94	$108.94	$421.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.94 / $127.48 / $157.84	Professional		$108.94	$127.48	$157.84
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 $201.56 / $264.70 / $264.70	Professional		$201.56	$264.70	$264.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.40 / $165.40 / $344.93	Facility		$165.40	$165.40	$344.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.74 / $120.74 / $302.02	Professional		$120.74	$120.74	$302.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $317.33 / $344.93 / $655.37	Professional		$317.33	$344.93	$655.37
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $108.94 / $108.94 / $421.60	Facility		$108.94	$108.94	$421.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $108.94 / $127.48 / $217.46	Professional		$108.94	$127.48	$217.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $233.60 / $470.40 / $679.60	Professional		$233.60	$470.40	$679.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $165.40 / $165.40 / $344.93	Facility		$165.40	$165.40	$344.93
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $120.74 / $120.74 / $334.88	Professional		$120.74	$120.74	$334.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $189.26 / $251.95 / $251.95	Facility		$189.26	$251.95	$251.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $189.26 / $251.95 / $328.31	Professional		$189.26	$251.95	$328.31
United Facility/Professional Professional Modifier Low / Median / High Price $119.24 / $132.62 / $244.87	Professional		$119.24	$132.62	$244.87