Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.34 / $66.34 / $256.74	Facility		$66.34	$66.34	$256.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.33 / $73.40 / $89.55	Professional		$54.33	$73.40	$89.55
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 $122.74 / $161.19 / $161.19	Professional		$122.74	$161.19	$161.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.36 / $112.36 / $138.83	Facility		$112.36	$112.36	$138.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.02 / $82.02 / $121.56	Professional		$82.02	$82.02	$121.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $127.72 / $138.83 / $263.77	Professional		$127.72	$138.83	$263.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $66.34 / $66.34 / $256.74	Facility		$66.34	$66.34	$256.74
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $54.33 / $76.22 / $106.42	Professional		$54.33	$76.22	$106.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $189.30 / $273.50	Professional		$94.00	$189.30	$273.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $112.36 / $112.36 / $138.83	Facility		$112.36	$112.36	$138.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $82.02 / $82.02 / $193.13	Professional		$82.02	$82.02	$193.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $115.25 / $153.43 / $153.43	Facility		$115.25	$153.43	$153.43
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $115.25 / $153.43 / $158.69	Professional		$115.25	$153.43	$158.69
United Facility/Professional Professional Modifier Low / Median / High Price $56.53 / $80.42 / $145.37	Professional		$56.53	$80.42	$145.37