Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.41 / $86.41 / $334.41	Facility		$86.41	$86.41	$334.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.17 / $99.28 / $132.38	Professional		$82.17	$99.28	$132.38
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 $159.88 / $209.97 / $209.97	Professional		$159.88	$209.97	$209.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.66 / $139.66 / $209.97	Facility		$139.66	$139.66	$209.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.95 / $101.95 / $183.86	Professional		$101.95	$101.95	$183.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $193.17 / $209.97 / $398.94	Professional		$193.17	$209.97	$398.94
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $86.41 / $86.41 / $334.41	Facility		$86.41	$86.41	$334.41
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $82.17 / $99.72 / $157.44	Professional		$82.17	$99.72	$157.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $142.10 / $286.39 / $413.70	Professional		$142.10	$286.39	$413.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $139.66 / $139.66 / $209.97	Facility		$139.66	$139.66	$209.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $101.95 / $101.95 / $250.13	Professional		$101.95	$101.95	$250.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $150.12 / $199.85 / $199.85	Facility		$150.12	$199.85	$199.85
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $150.12 / $199.85 / $205.48	Professional		$150.12	$199.85	$205.48
United Facility/Professional Professional Modifier Low / Median / High Price $86.70 / $104.75 / $189.36	Professional		$86.70	$104.75	$189.36