Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.28 / $144.28 / $558.36	Facility		$144.28	$144.28	$558.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.79 / $152.77 / $200.48	Professional		$128.79	$152.77	$200.48
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 $246.02 / $323.08 / $323.08	Professional		$246.02	$323.08	$323.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.68 / $225.68 / $335.38	Facility		$225.68	$225.68	$335.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.75 / $164.75 / $293.67	Professional		$164.75	$164.75	$293.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $308.55 / $335.38 / $637.22	Professional		$308.55	$335.38	$637.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $144.28 / $144.28 / $558.36	Facility		$144.28	$144.28	$558.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $125.27 / $152.77 / $211.44	Professional		$125.27	$152.77	$211.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $227.10 / $457.40 / $660.80	Professional		$227.10	$457.40	$660.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $225.68 / $225.68 / $335.38	Facility		$225.68	$225.68	$335.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $164.75 / $164.75 / $404.63	Professional		$164.75	$164.75	$404.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $154.40 / $154.40 / $307.52	Facility		$154.40	$154.40	$307.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $154.40 / $307.52 / $319.22	Professional		$154.40	$307.52	$319.22
United Facility/Professional Professional Modifier Low / Median / High Price $150.02 / $179.99 / $282.29	Professional		$150.02	$179.99	$282.29