Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.55 / $77.55 / $300.12	Facility		$77.55	$77.55	$300.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.75 / $85.81 / $104.25	Professional		$73.75	$85.81	$104.25
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 $143.50 / $188.45 / $188.45	Professional		$143.50	$188.45	$188.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.78 / $107.78 / $188.45	Facility		$107.78	$107.78	$188.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $78.68 / $165.01	Professional		$78.68	$78.68	$165.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $173.37 / $188.45 / $358.06	Professional		$173.37	$188.45	$358.06
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $77.55 / $77.55 / $300.12	Facility		$77.55	$77.55	$300.12
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $73.75 / $89.11 / $122.54	Professional		$73.75	$89.11	$122.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $233.70 / $268.70 / $371.30	Professional		$233.70	$268.70	$371.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $107.78 / $107.78 / $188.45	Facility		$107.78	$107.78	$188.45
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $78.68 / $223.88	Professional		$78.68	$78.68	$223.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $134.74 / $179.37 / $179.37	Facility		$134.74	$179.37	$179.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $134.74 / $179.37 / $183.77	Professional		$134.74	$179.37	$183.77
United Facility/Professional Facility Modifier Low / Median / High Price $66.30 / $85.28 / $99.63	Facility		$66.30	$85.28	$99.63
United Facility/Professional Professional Modifier Low / Median / High Price $72.13 / $94.01 / $164.65	Professional		$72.13	$94.01	$164.65