Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.38 / $71.38 / $276.24	Facility		$71.38	$71.38	$276.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.98 / $78.38 / $107.02	Professional		$69.98	$78.38	$107.02
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 $121.72 / $159.85 / $159.85	Professional		$121.72	$159.85	$159.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.25 / $113.25 / $211.85	Facility		$113.25	$113.25	$211.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.67 / $82.67 / $185.60	Professional		$82.67	$82.67	$185.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $195.01 / $211.97 / $402.74	Professional		$195.01	$211.97	$402.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $71.38 / $71.38 / $276.24	Facility		$71.38	$71.38	$276.24
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $53.02 / $78.38 / $133.78	Professional		$53.02	$78.38	$133.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.40 / $289.10 / $417.60	Professional		$43.40	$289.10	$417.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $113.25 / $113.25 / $211.85	Facility		$113.25	$113.25	$211.85
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $82.67 / $82.67 / $207.75	Professional		$82.67	$82.67	$207.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $76.38 / $76.38 / $152.15	Facility		$76.38	$76.38	$152.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $76.38 / $152.15 / $201.75	Professional		$76.38	$152.15	$201.75
United Facility/Professional Professional Modifier Low / Median / High Price $78.08 / $94.86 / $184.56	Professional		$78.08	$94.86	$184.56