Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.47 / $130.47 / $504.96	Facility		$130.47	$130.47	$504.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.08 / $149.91 / $195.61	Professional		$124.08	$149.91	$195.61
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 $241.42 / $317.05 / $317.05	Professional		$241.42	$317.05	$317.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.09 / $205.09 / $317.05	Facility		$205.09	$205.09	$317.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.72 / $149.72 / $277.62	Professional		$149.72	$149.72	$277.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $291.69 / $317.05 / $602.40	Professional		$291.69	$317.05	$602.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $130.47 / $130.47 / $504.96	Facility		$130.47	$130.47	$504.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $124.08 / $149.91 / $229.92	Professional		$124.08	$149.91	$229.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $432.40 / $624.60	Professional		$160.00	$432.40	$624.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $205.09 / $205.09 / $317.05	Facility		$205.09	$205.09	$317.05
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $149.72 / $149.72 / $367.50	Professional		$149.72	$149.72	$367.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $151.50 / $151.50 / $301.77	Facility		$151.50	$151.50	$301.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $151.50 / $301.77 / $301.77	Professional		$151.50	$301.77	$301.77
United Facility/Professional Professional Modifier Low / Median / High Price $121.87 / $158.43 / $277.01	Professional		$121.87	$158.43	$277.01