Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.81 / $114.81 / $444.32	Facility		$114.81	$114.81	$444.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.81 / $132.96 / $174.32	Professional		$114.81	$132.96	$174.32
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 $212.42 / $278.97 / $278.97	Professional		$212.42	$278.97	$278.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.32 / $174.32 / $339.74	Facility		$174.32	$174.32	$339.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.25 / $127.25 / $297.49	Professional		$127.25	$127.25	$297.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $220.21 / $339.74 / $460.01	Professional		$220.21	$339.74	$460.01
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $114.81 / $114.81 / $444.32	Facility		$114.81	$114.81	$444.32
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $114.18 / $132.96 / $214.19	Professional		$114.18	$132.96	$214.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $230.10 / $463.40 / $669.40	Professional		$230.10	$463.40	$669.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $174.32 / $174.32 / $339.74	Facility		$174.32	$174.32	$339.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $127.25 / $127.25 / $323.25	Professional		$127.25	$127.25	$323.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $199.45 / $265.52 / $265.52	Facility		$199.45	$265.52	$265.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $199.45 / $265.52 / $323.37	Professional		$199.45	$265.52	$323.37
United Facility/Professional Professional Modifier Low / Median / High Price $115.31 / $140.69 / $251.58	Professional		$115.31	$140.69	$251.58