Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.46 / $55.46 / $214.63	Facility		$55.46	$55.46	$214.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.15 / $61.35 / $69.61	Professional		$55.15	$61.35	$69.61
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 $102.61 / $134.75 / $134.75	Professional		$102.61	$134.75	$134.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.43 / $73.43 / $145.97	Facility		$73.43	$73.43	$145.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.60 / $53.60 / $127.82	Professional		$53.60	$53.60	$127.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $134.29 / $145.97 / $277.33	Professional		$134.29	$145.97	$277.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $55.46 / $55.46 / $214.63	Facility		$55.46	$55.46	$214.63
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $49.81 / $63.71 / $92.03	Professional		$49.81	$63.71	$92.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $98.90 / $199.10 / $287.60	Professional		$98.90	$199.10	$287.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $73.43 / $73.43 / $145.97	Facility		$73.43	$73.43	$145.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $53.60 / $53.60 / $141.75	Professional		$53.60	$53.60	$141.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $64.39 / $64.39 / $128.26	Facility		$64.39	$64.39	$128.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $64.39 / $128.26 / $138.94	Professional		$64.39	$128.26	$138.94
United Facility/Professional Professional Modifier Low / Median / High Price $48.52 / $67.22 / $112.23	Professional		$48.52	$67.22	$112.23