Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.01 / $64.01 / $247.72	Facility		$64.01	$64.01	$247.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.87 / $70.81 / $90.22	Professional		$60.87	$70.81	$90.22
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 $118.44 / $155.55 / $155.55	Professional		$118.44	$155.55	$155.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.96 / $88.96 / $155.55	Facility		$88.96	$88.96	$155.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.94 / $64.94 / $136.19	Professional		$64.94	$64.94	$136.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $143.11 / $155.55 / $295.55	Professional		$143.11	$155.55	$295.55
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $64.01 / $64.01 / $247.72	Facility		$64.01	$64.01	$247.72
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $60.87 / $73.55 / $100.11	Professional		$60.87	$73.55	$100.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.50 / $76.80 / $306.39	Professional		$58.50	$76.80	$306.39
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $88.96 / $88.96 / $155.55	Facility		$88.96	$88.96	$155.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $64.94 / $64.94 / $184.88	Professional		$64.94	$64.94	$184.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $111.20 / $148.05 / $148.05	Facility		$111.20	$148.05	$148.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $111.20 / $148.05 / $151.69	Professional		$111.20	$148.05	$151.69
United Facility/Professional Professional Modifier Low / Median / High Price $59.53 / $77.59 / $140.27	Professional		$59.53	$77.59	$140.27