Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.04 / $110.04 / $425.86	Facility		$110.04	$110.04	$425.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.32 / $116.51 / $137.86	Professional		$86.32	$116.51	$137.86
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 $187.62 / $246.41 / $246.41	Professional		$187.62	$246.41	$246.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.58 / $175.58 / $220.58	Facility		$175.58	$175.58	$220.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $128.16 / $193.15	Professional		$128.16	$128.16	$193.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $202.93 / $220.58 / $419.10	Professional		$202.93	$220.58	$419.10
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $110.04 / $110.04 / $425.86	Facility		$110.04	$110.04	$425.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $86.31 / $116.51 / $154.66	Professional		$86.31	$116.51	$154.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $149.40 / $300.80 / $434.60	Professional		$149.40	$300.80	$434.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $175.58 / $175.58 / $220.58	Facility		$175.58	$175.58	$220.58
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $128.16 / $300.00	Professional		$128.16	$128.16	$300.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $117.75 / $117.75 / $234.53	Facility		$117.75	$117.75	$234.53
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $117.75 / $234.53 / $239.22	Professional		$117.75	$234.53	$239.22
United Facility/Professional Professional Modifier Low / Median / High Price $106.61 / $137.46 / $215.29	Professional		$106.61	$137.46	$215.29