Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.41 / $143.41 / $555.04	Facility		$143.41	$143.41	$555.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.88 / $151.86 / $185.48	Professional		$127.88	$151.86	$185.48
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 $244.55 / $321.17 / $321.17	Professional		$244.55	$321.17	$321.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.10 / $225.10 / $347.98	Facility		$225.10	$225.10	$347.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.32 / $164.32 / $304.70	Professional		$164.32	$164.32	$304.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $320.14 / $347.98 / $661.16	Professional		$320.14	$347.98	$661.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $143.41 / $143.41 / $555.04	Facility		$143.41	$143.41	$555.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $127.88 / $151.86 / $216.68	Professional		$127.88	$151.86	$216.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $235.60 / $474.60 / $685.60	Professional		$235.60	$474.60	$685.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $225.10 / $225.10 / $347.98	Facility		$225.10	$225.10	$347.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $164.32 / $164.32 / $403.50	Professional		$164.32	$164.32	$403.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $153.47 / $153.47 / $305.69	Facility		$153.47	$153.47	$305.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $153.47 / $305.69 / $331.22	Professional		$153.47	$305.69	$331.22
United Facility/Professional Facility Modifier Low / Median / High Price $100.32 / $172.06 / $196.18	Facility		$100.32	$172.06	$196.18
United Facility/Professional Professional Modifier Low / Median / High Price $144.81 / $173.61 / $289.62	Professional		$144.81	$173.61	$289.62