Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.83 / $117.83 / $456.00	Facility		$117.83	$117.83	$456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.55 / $128.66 / $145.87	Professional		$90.55	$128.66	$145.87
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 $218.02 / $286.32 / $286.32	Professional		$218.02	$286.32	$286.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.23 / $166.23 / $231.38	Facility		$166.23	$166.23	$231.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $121.35 / $202.60	Professional		$121.35	$121.35	$202.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $212.87 / $231.38 / $439.62	Professional		$212.87	$231.38	$439.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $117.83 / $117.83 / $456.00	Facility		$117.83	$117.83	$456.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $90.55 / $130.37 / $150.55	Professional		$90.55	$130.37	$150.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $156.69 / $315.60 / $455.90	Professional		$156.69	$315.60	$455.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $166.23 / $166.23 / $231.38	Facility		$166.23	$166.23	$231.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $121.35 / $297.75	Professional		$121.35	$121.35	$297.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $204.70 / $272.52 / $272.52	Facility		$204.70	$272.52	$272.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $204.70 / $272.52 / $272.52	Professional		$204.70	$272.52	$272.52
United Facility/Professional Professional Modifier Low / Median / High Price $97.83 / $142.84 / $238.06	Professional		$97.83	$142.84	$238.06