Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.94 / $99.94 / $386.77	Facility		$99.94	$99.94	$386.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $109.74 / $143.91	Professional		$89.34	$109.74	$143.91
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 $170.41 / $223.79 / $223.79	Professional		$170.41	$223.79	$223.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.96 / $169.96 / $228.28	Facility		$169.96	$169.96	$228.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.07 / $124.07 / $285.38	Professional		$124.07	$124.07	$285.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $210.02 / $228.28 / $433.73	Professional		$210.02	$228.28	$433.73
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $99.94 / $99.94 / $386.77	Facility		$99.94	$99.94	$386.77
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $109.74 / $181.89	Professional		$89.34	$109.74	$181.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $154.60 / $311.39 / $449.80	Professional		$154.60	$311.39	$449.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $169.96 / $169.96 / $228.28	Facility		$169.96	$169.96	$228.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $124.07 / $124.07 / $285.38	Professional		$124.07	$124.07	$285.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $106.93 / $106.93 / $213.01	Facility		$106.93	$106.93	$213.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $106.93 / $213.01 / $217.28	Professional		$106.93	$213.01	$217.28
United Facility/Professional Professional Modifier Low / Median / High Price $100.91 / $121.32 / $201.82	Professional		$100.91	$121.32	$201.82