Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.48 / $111.48 / $431.43	Facility		$111.48	$111.48	$431.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.40 / $118.03 / $138.32	Professional		$94.40	$118.03	$138.32
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 $190.08 / $249.63 / $249.63	Professional		$190.08	$249.63	$249.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.76 / $138.76 / $241.22	Facility		$138.76	$138.76	$241.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.29 / $101.29 / $211.22	Professional		$101.29	$101.29	$211.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $221.92 / $241.22 / $458.32	Professional		$221.92	$241.22	$458.32
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $111.48 / $111.48 / $431.43	Facility		$111.48	$111.48	$431.43
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $94.36 / $118.03 / $202.89	Professional		$94.36	$118.03	$202.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $163.40 / $329.00 / $475.20	Professional		$163.40	$329.00	$475.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $138.76 / $138.76 / $241.22	Facility		$138.76	$138.76	$241.22
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $101.29 / $101.29 / $274.13	Professional		$101.29	$101.29	$274.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $119.29 / $119.29 / $237.60	Facility		$119.29	$119.29	$237.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $119.29 / $229.60 / $237.60	Professional		$119.29	$229.60	$237.60
United Facility/Professional Facility Modifier Low / Median / High Price $251.68 / $296.08 / $355.31	Facility		$251.68	$296.08	$355.31
United Facility/Professional Professional Modifier Low / Median / High Price $112.73 / $135.32 / $218.09	Professional		$112.73	$135.32	$218.09