Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.80 / $83.80 / $324.31	Facility		$83.80	$83.80	$324.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.34 / $92.89 / $106.87	Professional		$83.34	$92.89	$106.87
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 $155.05 / $203.62 / $203.62	Professional		$155.05	$203.62	$203.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.31 / $124.31 / $237.35	Facility		$124.31	$124.31	$237.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.75 / $90.75 / $222.75	Professional		$90.75	$90.75	$222.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $218.36 / $237.35 / $450.97	Professional		$218.36	$237.35	$450.97
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $83.80 / $83.80 / $324.31	Facility		$83.80	$83.80	$324.31
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $80.80 / $96.28 / $149.63	Professional		$80.80	$96.28	$149.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $160.69 / $323.70 / $467.60	Professional		$160.69	$323.70	$467.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $124.31 / $124.31 / $237.35	Facility		$124.31	$124.31	$237.35
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $90.75 / $90.75 / $222.75	Professional		$90.75	$90.75	$222.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $145.59 / $193.81 / $193.81	Facility		$145.59	$193.81	$193.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $145.59 / $193.81 / $225.92	Professional		$145.59	$193.81	$225.92
United Facility/Professional Professional Modifier Low / Median / High Price $79.90 / $102.60 / $178.01	Professional		$79.90	$102.60	$178.01