Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.24 / $97.24 / $376.32	Facility		$97.24	$97.24	$376.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.21 / $102.96 / $137.28	Professional		$85.21	$102.96	$137.28
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 $165.80 / $217.74 / $217.74	Professional		$165.80	$217.74	$217.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.85 / $140.85 / $217.74	Facility		$140.85	$140.85	$217.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.82 / $102.82 / $252.38	Professional		$102.82	$102.82	$252.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $200.32 / $217.74 / $413.71	Professional		$200.32	$217.74	$413.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $97.24 / $97.24 / $376.32	Facility		$97.24	$97.24	$376.32
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $85.21 / $103.63 / $176.98	Professional		$85.21	$103.63	$176.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $147.40 / $297.00 / $429.00	Professional		$147.40	$297.00	$429.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $140.85 / $140.85 / $217.74	Facility		$140.85	$140.85	$217.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $102.82 / $102.82 / $252.38	Professional		$102.82	$102.82	$252.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $104.05 / $104.05 / $207.25	Facility		$104.05	$104.05	$207.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $104.05 / $207.25 / $207.25	Professional		$104.05	$207.25	$207.25
United Facility/Professional Professional Modifier Low / Median / High Price $102.25 / $117.68 / $190.25	Professional		$102.25	$117.68	$190.25