Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.34 / $140.34 / $543.12	Facility		$140.34	$140.34	$543.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.57 / $157.18 / $206.34	Professional		$139.57	$157.18	$206.34
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 $259.66 / $341.00 / $341.00	Professional		$259.66	$341.00	$341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.22 / $188.22 / $401.34	Facility		$188.22	$188.22	$401.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.40 / $137.40 / $349.13	Professional		$137.40	$137.40	$349.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $369.50 / $401.63 / $763.10	Professional		$369.50	$401.63	$763.10
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $140.34 / $140.34 / $543.12	Facility		$140.34	$140.34	$543.12
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $139.57 / $161.24 / $263.76	Professional		$139.57	$161.24	$263.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $272.00 / $547.79 / $791.30	Professional		$272.00	$547.79	$791.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $188.22 / $188.22 / $401.34	Facility		$188.22	$188.22	$401.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $137.40 / $137.40 / $349.13	Professional		$137.40	$137.40	$349.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $243.79 / $324.57 / $324.57	Facility		$243.79	$324.57	$324.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $243.79 / $324.57 / $382.28	Professional		$243.79	$324.57	$382.28
United Facility/Professional Facility Modifier Low / Median / High Price $204.62 / $204.62 / $204.62	Facility		$204.62	$204.62	$204.62
United Facility/Professional Professional Modifier Low / Median / High Price $127.36 / $171.82 / $283.52	Professional		$127.36	$171.82	$283.52