Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.52 / $115.52 / $447.06	Facility		$115.52	$115.52	$447.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.23 / $122.32 / $170.71	Professional		$101.23	$122.32	$170.71
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 $196.97 / $258.68 / $258.68	Professional		$196.97	$258.68	$258.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.63 / $161.63 / $258.68	Facility		$161.63	$161.63	$258.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.99 / $117.99 / $226.51	Professional		$117.99	$117.99	$226.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $237.99 / $258.68 / $491.49	Professional		$237.99	$258.68	$491.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $115.52 / $115.52 / $447.06	Facility		$115.52	$115.52	$447.06
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $101.23 / $122.32 / $192.53	Professional		$101.23	$122.32	$192.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $175.20 / $352.80 / $509.60	Professional		$175.20	$352.80	$509.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $161.63 / $161.63 / $258.68	Facility		$161.63	$161.63	$258.68
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $117.99 / $117.99 / $399.75	Professional		$117.99	$117.99	$399.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $123.61 / $123.61 / $246.21	Facility		$123.61	$123.61	$246.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $123.61 / $246.21 / $251.13	Professional		$123.61	$246.21	$251.13
United Facility/Professional Facility Modifier Low / Median / High Price $99.43 / $170.54 / $194.44	Facility		$99.43	$170.54	$194.44
United Facility/Professional Professional Modifier Low / Median / High Price $120.99 / $155.21 / $233.28	Professional		$120.99	$155.21	$233.28