Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.35 / $84.35 / $326.43	Facility		$84.35	$84.35	$326.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.20 / $93.32 / $113.36	Professional		$80.20	$93.32	$113.36
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 $156.06 / $204.94 / $204.94	Professional		$156.06	$204.94	$204.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.11 / $149.11 / $204.94	Facility		$149.11	$149.11	$204.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.85 / $108.85 / $179.46	Professional		$108.85	$108.85	$179.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $188.54 / $204.94 / $389.39	Professional		$188.54	$204.94	$389.39
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $84.35 / $84.35 / $326.43	Facility		$84.35	$84.35	$326.43
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $80.20 / $96.91 / $133.24	Professional		$80.20	$96.91	$133.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $101.20 / $403.80	Professional		$77.00	$101.20	$403.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $149.11 / $149.11 / $204.94	Facility		$149.11	$149.11	$204.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $108.85 / $108.85 / $243.38	Professional		$108.85	$108.85	$243.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $146.51 / $195.07 / $195.07	Facility		$146.51	$195.07	$195.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $146.51 / $195.07 / $199.80	Professional		$146.51	$195.07	$199.80
United Facility/Professional Professional Modifier Low / Median / High Price $77.98 / $103.27 / $174.79	Professional		$77.98	$103.27	$174.79