Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.28 / $113.28 / $141.60	Facility		$113.28	$113.28	$141.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.28 / $142.93 / $218.47	Professional		$113.28	$142.93	$218.47
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $967.00 / $57,255.43 / $79,506.39	Facility		$967.00	$57,255.43	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $231.02 / $231.02 / $231.02	Professional		$231.02	$231.02	$231.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.73 / $270.73 / $270.73	Facility		$270.73	$270.73	$270.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.26 / $94.26 / $94.26	Professional		$94.26	$94.26	$94.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $242.57 / $312.80 / $334.98	Professional		$242.57	$312.80	$334.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $113.28 / $113.28 / $141.60	Facility		$113.28	$113.28	$141.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $113.28 / $146.65 / $289.31	Professional		$113.28	$146.65	$289.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $284.20 / $344.60 / $455.20	Professional		$284.20	$344.60	$455.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $270.73 / $270.73 / $270.73	Facility		$270.73	$270.73	$270.73
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $94.26 / $94.26 / $94.26	Professional		$94.26	$94.26	$94.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $135.38 / $219.89 / $219.89	Facility		$135.38	$219.89	$219.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $135.38 / $219.89 / $219.89	Professional		$135.38	$219.89	$219.89
United Facility/Professional Professional Modifier Low / Median / High Price $97.97 / $115.25 / $192.09	Professional		$97.97	$115.25	$192.09