Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.17 / $105.17 / $407.01	Facility		$105.17	$105.17	$407.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.62 / $111.35 / $136.91	Professional		$87.62	$111.35	$136.91
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 $179.32 / $235.50 / $235.50	Professional		$179.32	$235.50	$235.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.22 / $159.22 / $223.88	Facility		$159.22	$159.22	$223.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.23 / $116.23 / $196.04	Professional		$116.23	$116.23	$196.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $205.97 / $223.88 / $425.37	Professional		$205.97	$223.88	$425.37
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $105.17 / $105.17 / $407.01	Facility		$105.17	$105.17	$407.01
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $87.62 / $111.35 / $165.10	Professional		$87.62	$111.35	$165.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.50 / $305.30 / $441.10	Professional		$151.50	$305.30	$441.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $159.22 / $159.22 / $223.88	Facility		$159.22	$159.22	$223.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $116.23 / $116.23 / $285.38	Professional		$116.23	$116.23	$285.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $112.54 / $112.54 / $224.15	Facility		$112.54	$112.54	$224.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $112.54 / $224.15 / $228.63	Professional		$112.54	$224.15	$228.63
United Facility/Professional Professional Modifier Low / Median / High Price $108.21 / $132.86 / $212.39	Professional		$108.21	$132.86	$212.39