Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $107.00 / $414.09	Facility		$107.00	$107.00	$414.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.54 / $113.29 / $132.87	Professional		$90.54	$113.29	$132.87
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 $182.44 / $239.60 / $239.60	Professional		$182.44	$239.60	$239.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.47 / $166.47 / $242.54	Facility		$166.47	$166.47	$242.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.52 / $121.52 / $212.38	Professional		$121.52	$121.52	$212.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $223.14 / $242.54 / $460.83	Professional		$223.14	$242.54	$460.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $107.00 / $414.09	Facility		$107.00	$107.00	$414.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $113.29 / $157.34	Professional		$89.13	$113.29	$157.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $164.20 / $330.80 / $477.90	Professional		$164.20	$330.80	$477.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $166.47 / $166.47 / $242.54	Facility		$166.47	$166.47	$242.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $121.52 / $121.52 / $289.13	Professional		$121.52	$121.52	$289.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $114.49 / $114.49 / $228.05	Facility		$114.49	$114.49	$228.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $114.49 / $228.05 / $232.61	Professional		$114.49	$228.05	$232.61
United Facility/Professional Professional Modifier Low / Median / High Price $108.03 / $135.04 / $199.22	Professional		$108.03	$135.04	$199.22