Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.50 / $106.50 / $412.16	Facility		$106.50	$106.50	$412.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.37 / $112.77 / $144.47	Professional		$98.37	$112.77	$144.47
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 $181.60 / $238.49 / $238.49	Professional		$181.60	$238.49	$238.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.51 / $194.51 / $291.70	Facility		$194.51	$194.51	$291.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.99 / $141.99 / $262.85	Professional		$141.99	$141.99	$262.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $276.17 / $300.18 / $570.34	Professional		$276.17	$300.18	$570.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $106.50 / $106.50 / $412.16	Facility		$106.50	$106.50	$412.16
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $104.42 / $116.94 / $167.57	Professional		$104.42	$116.94	$167.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $203.20 / $409.40 / $591.40	Professional		$203.20	$409.40	$591.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $194.51 / $194.51 / $291.70	Facility		$194.51	$194.51	$291.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $141.99 / $141.99 / $317.63	Professional		$141.99	$141.99	$317.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $113.96 / $113.96 / $227.00	Facility		$113.96	$113.96	$227.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $113.96 / $227.00 / $285.72	Professional		$113.96	$227.00	$285.72
United Facility/Professional Professional Modifier Low / Median / High Price $111.55 / $143.09 / $215.06	Professional		$111.55	$143.09	$215.06