Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $251.55	Facility		$65.00	$65.00	$251.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.34 / $68.83 / $117.40	Professional		$64.34	$68.83	$117.40
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 $110.84 / $145.56 / $145.56	Professional		$110.84	$145.56	$145.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.54 / $97.54 / $175.10	Facility		$97.54	$97.54	$175.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $71.20 / $153.33	Professional		$71.20	$71.20	$153.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $161.09 / $175.10 / $332.69	Professional		$161.09	$175.10	$332.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $251.55	Facility		$65.00	$65.00	$251.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $63.73 / $71.38 / $421.00	Professional		$63.73	$71.38	$421.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $118.60 / $238.80 / $345.00	Professional		$118.60	$238.80	$345.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $97.54 / $97.54 / $175.10	Facility		$97.54	$97.54	$175.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $71.20 / $174.75	Professional		$71.20	$71.20	$174.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $69.56 / $69.56 / $138.55	Facility		$69.56	$69.56	$138.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $138.55 / $166.67	Professional		$69.56	$138.55	$166.67
United Facility/Professional Professional Modifier Low / Median / High Price $68.08 / $87.34 / $131.27	Professional		$68.08	$87.34	$131.27