Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.17 / $78.17 / $302.52	Facility		$78.17	$78.17	$302.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.33 / $86.48 / $110.15	Professional		$74.33	$86.48	$110.15
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 $144.62 / $189.93 / $189.93	Professional		$144.62	$189.93	$189.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.63 / $129.63 / $189.93	Facility		$129.63	$129.63	$189.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $94.64 / $225.75	Professional		$94.64	$94.64	$225.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $174.74 / $189.93 / $360.87	Professional		$174.74	$189.93	$360.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $78.17 / $78.17 / $302.52	Facility		$78.17	$78.17	$302.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $74.33 / $89.81 / $296.76	Professional		$74.33	$89.81	$296.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $81.20 / $374.20	Professional		$61.80	$81.20	$374.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $129.63 / $129.63 / $189.93	Facility		$129.63	$129.63	$189.93
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $94.64 / $225.75	Professional		$94.64	$94.64	$225.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $135.79 / $180.78 / $180.78	Facility		$135.79	$180.78	$180.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $135.79 / $180.78 / $185.21	Professional		$135.79	$180.78	$185.21
United Facility/Professional Professional Modifier Low / Median / High Price $78.38 / $94.75 / $171.28	Professional		$78.38	$94.75	$171.28