Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.74 / $100.74 / $389.86	Facility		$100.74	$100.74	$389.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.35 / $106.66 / $126.15	Professional		$94.35	$106.66	$126.15
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 $171.76 / $225.57 / $225.57	Professional		$171.76	$225.57	$225.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.98 / $126.98 / $256.73	Facility		$126.98	$126.98	$256.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $92.70 / $274.50	Professional		$92.70	$92.70	$274.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $236.19 / $256.73 / $487.79	Professional		$236.19	$256.73	$487.79
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $100.74 / $100.74 / $389.86	Facility		$100.74	$100.74	$389.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $94.35 / $106.66 / $158.26	Professional		$94.35	$106.66	$158.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $106.40 / $505.80	Professional		$81.00	$106.40	$505.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $126.98 / $126.98 / $256.73	Facility		$126.98	$126.98	$256.73
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $92.70 / $274.50	Professional		$92.70	$92.70	$274.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $107.79 / $107.79 / $214.70	Facility		$107.79	$107.79	$214.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $107.79 / $214.70 / $244.36	Professional		$107.79	$214.70	$244.36
United Facility/Professional Facility Modifier Low / Median / High Price $120.51 / $120.51 / $120.51	Facility		$120.51	$120.51	$120.51
United Facility/Professional Professional Modifier Low / Median / High Price $101.71 / $126.94 / $203.42	Professional		$101.71	$126.94	$203.42