Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.96 / $132.96 / $140.78	Facility		$132.96	$132.96	$140.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.51 / $140.78 / $181.44	Professional		$116.51	$140.78	$181.44
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 $226.71 / $297.74 / $297.74	Professional		$226.71	$297.74	$297.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.29 / $170.29 / $297.74	Facility		$170.29	$170.29	$297.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.75 / $144.75 / $260.70	Professional		$144.75	$144.75	$260.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $273.92 / $297.74 / $565.71	Professional		$273.92	$297.74	$565.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $132.96 / $132.96 / $132.96	Facility		$132.96	$132.96	$132.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $116.51 / $140.78 / $205.13	Professional		$116.51	$140.78	$205.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $369.10 / $424.50 / $586.60	Professional		$369.10	$424.50	$586.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $170.29 / $170.29 / $297.74	Facility		$170.29	$170.29	$297.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $144.75 / $144.75 / $353.63	Professional		$144.75	$144.75	$353.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $283.39 / $283.39 / $283.39	Facility		$283.39	$283.39	$283.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $283.39 / $283.39 / $290.37	Professional		$283.39	$283.39	$290.37
United Facility/Professional Professional Modifier Low / Median / High Price $135.94 / $178.64 / $268.49	Professional		$135.94	$178.64	$268.49