Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.67 / $117.67 / $455.38	Facility		$117.67	$117.67	$455.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.39 / $124.59 / $153.68	Professional		$95.39	$124.59	$153.68
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 $200.63 / $263.49 / $263.49	Professional		$200.63	$263.49	$263.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.21 / $159.21 / $243.76	Facility		$159.21	$159.21	$243.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.22 / $116.22 / $213.44	Professional		$116.22	$116.22	$213.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $224.26 / $243.76 / $463.14	Professional		$224.26	$243.76	$463.14
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $117.67 / $117.67 / $455.38	Facility		$117.67	$117.67	$455.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $95.39 / $124.59 / $214.16	Professional		$95.39	$124.59	$214.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $302.20 / $347.60 / $480.20	Professional		$302.20	$347.60	$480.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $159.21 / $159.21 / $243.76	Facility		$159.21	$159.21	$243.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $116.22 / $116.22 / $304.13	Professional		$116.22	$116.22	$304.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $188.39 / $250.79 / $250.79	Facility		$188.39	$250.79	$250.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $188.39 / $250.79 / $250.79	Professional		$188.39	$250.79	$250.79
United Facility/Professional Professional Modifier Low / Median / High Price $121.61 / $148.52 / $237.62	Professional		$121.61	$148.52	$237.62