Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.16 / $160.16 / $619.82	Facility		$160.16	$160.16	$619.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.72 / $160.16 / $185.22	Professional		$133.72	$160.16	$185.22
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 $273.08 / $358.64 / $358.64	Professional		$273.08	$358.64	$358.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.54 / $170.54 / $357.90	Facility		$170.54	$170.54	$357.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.49 / $124.49 / $318.64	Professional		$124.49	$124.49	$318.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $334.80 / $363.91 / $691.43	Professional		$334.80	$363.91	$691.43
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $160.16 / $160.16 / $619.82	Facility		$160.16	$160.16	$619.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $133.72 / $161.11 / $213.16	Professional		$133.72	$161.11	$213.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $246.50 / $496.30 / $717.00	Professional		$246.50	$496.30	$717.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $170.54 / $170.54 / $357.90	Facility		$170.54	$170.54	$357.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $124.49 / $124.49 / $370.13	Professional		$124.49	$124.49	$370.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $171.37 / $171.37 / $341.35	Facility		$171.37	$171.37	$341.35
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $171.37 / $341.35 / $346.37	Professional		$171.37	$341.35	$346.37
United Facility/Professional Professional Modifier Low / Median / High Price $161.71 / $193.82 / $298.19	Professional		$161.71	$193.82	$298.19