Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.86 / $84.86 / $89.85	Facility		$84.86	$84.86	$89.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $89.85 / $115.77	Professional		$74.36	$89.85	$115.77
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 $144.69 / $190.02 / $190.02	Professional		$144.69	$190.02	$190.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $67.73 / $190.02	Facility		$67.73	$67.73	$190.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $57.58 / $166.39	Professional		$57.58	$57.58	$166.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $174.82 / $190.02 / $361.04	Professional		$174.82	$190.02	$361.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $84.86 / $84.86 / $84.86	Facility		$84.86	$84.86	$84.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $89.85 / $130.91	Professional		$74.36	$89.85	$130.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $235.60 / $270.89 / $374.40	Professional		$235.60	$270.89	$374.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $67.73 / $190.02	Facility		$67.73	$67.73	$190.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $57.58 / $225.75	Professional		$57.58	$57.58	$225.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $135.85 / $180.87 / $180.87	Facility		$135.85	$180.87	$180.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $135.85 / $180.87 / $185.30	Professional		$135.85	$180.87	$185.30
United Facility/Professional Professional Modifier Low / Median / High Price $86.78 / $114.01 / $166.03	Professional		$86.78	$114.01	$166.03