Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.40 / $63.40 / $245.36	Facility		$63.40	$63.40	$245.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.63 / $67.13 / $78.34	Professional		$48.63	$67.13	$78.34
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 $108.10 / $141.96 / $141.96	Professional		$108.10	$141.96	$141.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.44 / $97.44 / $124.27	Facility		$97.44	$97.44	$124.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.13 / $71.13 / $108.81	Professional		$71.13	$71.13	$108.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $114.33 / $124.27 / $236.11	Professional		$114.33	$124.27	$236.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $63.40 / $63.40 / $245.36	Facility		$63.40	$63.40	$245.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $48.63 / $67.13 / $115.39	Professional		$48.63	$67.13	$115.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $154.10 / $177.20 / $244.80	Professional		$154.10	$177.20	$244.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $97.44 / $97.44 / $124.27	Facility		$97.44	$97.44	$124.27
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $71.13 / $71.13 / $174.75	Professional		$71.13	$71.13	$174.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $67.84 / $67.84 / $135.12	Facility		$67.84	$67.84	$135.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $135.12 / $137.82	Professional		$67.84	$135.12	$137.82
United Facility/Professional Facility Modifier Low / Median / High Price $133.11 / $156.60 / $187.92	Facility		$133.11	$156.60	$187.92
United Facility/Professional Professional Modifier Low / Median / High Price $64.01 / $78.13 / $124.04	Professional		$64.01	$78.13	$124.04