Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.37 / $64.37 / $249.11	Facility		$64.37	$64.37	$249.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.96 / $68.16 / $93.41	Professional		$59.96	$68.16	$93.41
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 $109.76 / $144.13 / $144.13	Professional		$109.76	$144.13	$144.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.07 / $90.07 / $163.13	Facility		$90.07	$90.07	$163.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.75 / $65.75 / $142.85	Professional		$65.75	$65.75	$142.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $150.09 / $163.13 / $309.97	Professional		$150.09	$163.13	$309.97
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $64.37 / $64.37 / $249.11	Facility		$64.37	$64.37	$249.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $60.05 / $68.16 / $107.29	Professional		$60.05	$68.16	$107.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $110.50 / $222.50 / $321.39	Professional		$110.50	$222.50	$321.39
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $90.07 / $90.07 / $163.13	Facility		$90.07	$90.07	$163.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $65.75 / $65.75 / $167.25	Professional		$65.75	$65.75	$167.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $99.67 / $99.67 / $137.19	Facility		$99.67	$99.67	$137.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $99.67 / $137.19 / $155.28	Professional		$99.67	$137.19	$155.28
United Facility/Professional Professional Modifier Low / Median / High Price $67.42 / $77.90 / $129.97	Professional		$67.42	$77.90	$129.97