Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.24 / $89.24 / $345.36	Facility		$89.24	$89.24	$345.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.20 / $94.49 / $131.87	Professional		$78.20	$94.49	$131.87
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 $152.16 / $199.83 / $199.83	Professional		$152.16	$199.83	$199.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.35 / $172.35 / $199.83	Facility		$172.35	$172.35	$199.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.82 / $125.82 / $177.52	Professional		$125.82	$125.82	$177.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $183.84 / $199.83 / $379.68	Professional		$183.84	$199.83	$379.68
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $89.24 / $89.24 / $345.36	Facility		$89.24	$89.24	$345.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $78.20 / $94.49 / $152.16	Professional		$78.20	$94.49	$152.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $135.30 / $272.50 / $393.70	Professional		$135.30	$272.50	$393.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $172.35 / $172.35 / $199.83	Facility		$172.35	$172.35	$199.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $125.82 / $125.82 / $309.00	Professional		$125.82	$125.82	$309.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $95.49 / $95.49 / $190.20	Facility		$95.49	$95.49	$190.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $95.49 / $190.20 / $194.00	Professional		$95.49	$190.20	$194.00
United Facility/Professional Facility Modifier Low / Median / High Price $76.81 / $131.74 / $150.19	Facility		$76.81	$131.74	$150.19
United Facility/Professional Professional Modifier Low / Median / High Price $93.84 / $117.09 / $180.20	Professional		$93.84	$117.09	$180.20