Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.21 / $94.21 / $99.75	Facility		$94.21	$94.21	$99.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.56 / $99.75 / $133.01	Professional		$82.56	$99.75	$133.01
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 $160.63 / $210.96 / $210.96	Professional		$160.63	$210.96	$210.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.65 / $171.65 / $210.96	Facility		$171.65	$171.65	$210.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.90 / $145.90 / $184.73	Professional		$145.90	$145.90	$184.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $194.08 / $210.96 / $400.82	Professional		$194.08	$210.96	$400.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $94.21 / $94.21 / $94.21	Facility		$94.21	$94.21	$94.21
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $82.56 / $103.45 / $145.38	Professional		$82.56	$103.45	$145.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $261.60 / $300.80 / $415.60	Professional		$261.60	$300.80	$415.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $171.65 / $171.65 / $210.96	Facility		$171.65	$171.65	$210.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $145.90 / $145.90 / $250.50	Professional		$145.90	$145.90	$250.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $150.84 / $200.80 / $200.80	Facility		$150.84	$200.80	$200.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $150.84 / $200.80 / $205.74	Professional		$150.84	$200.80	$205.74
United Facility/Professional Professional Modifier Low / Median / High Price $96.36 / $127.34 / $175.42	Professional		$96.36	$127.34	$175.42