Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.28 / $55.28 / $58.53	Facility		$55.28	$55.28	$58.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.44 / $58.53 / $75.42	Professional		$48.44	$58.53	$75.42
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 $94.26 / $123.78 / $123.78	Professional		$94.26	$123.78	$123.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.70 / $100.70 / $123.78	Facility		$100.70	$100.70	$123.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.60 / $85.60 / $147.00	Professional		$85.60	$85.60	$147.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $113.88 / $123.78 / $235.18	Professional		$113.88	$123.78	$235.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $55.28 / $55.28 / $55.28	Facility		$55.28	$55.28	$55.28
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $48.44 / $58.53 / $85.29	Professional		$48.44	$58.53	$85.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $153.50 / $176.50 / $243.90	Professional		$153.50	$176.50	$243.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $100.70 / $100.70 / $123.78	Facility		$100.70	$100.70	$123.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $85.60 / $85.60 / $147.00	Professional		$85.60	$85.60	$147.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $88.50 / $117.82 / $117.82	Facility		$88.50	$117.82	$117.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $88.50 / $117.82 / $120.69	Professional		$88.50	$117.82	$120.69
United Facility/Professional Professional Modifier Low / Median / High Price $56.53 / $67.09 / $108.15	Professional		$56.53	$67.09	$108.15