Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.41 / $99.41 / $384.72	Facility		$99.41	$99.41	$384.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.13 / $108.92 / $142.18	Professional		$97.13	$108.92	$142.18
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 $169.51 / $222.62 / $222.62	Professional		$169.51	$222.62	$222.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.31 / $182.31 / $287.50	Facility		$182.31	$182.31	$287.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.09 / $133.09 / $259.54	Professional		$133.09	$133.09	$259.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $272.69 / $296.39 / $563.16	Professional		$272.69	$296.39	$563.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $99.41 / $99.41 / $384.72	Facility		$99.41	$99.41	$384.72
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $97.47 / $109.16 / $165.45	Professional		$97.47	$109.16	$165.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $200.70 / $404.30 / $584.00	Professional		$200.70	$404.30	$584.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $182.31 / $182.31 / $287.50	Facility		$182.31	$182.31	$287.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $133.09 / $133.09 / $326.63	Professional		$133.09	$133.09	$326.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $106.38 / $106.38 / $211.89	Facility		$106.38	$106.38	$211.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $106.38 / $211.89 / $282.12	Professional		$106.38	$211.89	$282.12
United Facility/Professional Professional Modifier Low / Median / High Price $104.39 / $133.57 / $200.77	Professional		$104.39	$133.57	$200.77