Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.96 / $161.96 / $190.99	Facility		$161.96	$161.96	$190.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $161.96 / $201.05	Professional		$23.82	$161.96	$201.05
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 $214.08 / $222.16 / $303.43	Professional		$214.08	$222.16	$303.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.13 / $261.13 / $261.13	Facility		$261.13	$261.13	$261.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.29 / $182.29 / $182.29	Professional		$182.29	$182.29	$182.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $310.88 / $399.71 / $642.49	Professional		$310.88	$399.71	$642.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $161.96 / $161.96 / $190.99	Facility		$161.96	$161.96	$190.99
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $161.96 / $196.48	Professional		$20.10	$161.96	$196.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $88.00 / $268.60	Professional		$88.00	$88.00	$268.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $261.13 / $261.13 / $261.13	Facility		$261.13	$261.13	$261.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $182.29 / $182.29 / $182.29	Professional		$182.29	$182.29	$182.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $147.35 / $176.84 / $176.84	Facility		$147.35	$176.84	$176.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $147.35 / $176.84 / $231.98	Professional		$147.35	$176.84	$231.98
United Facility/Professional Professional Modifier Low / Median / High Price $127.15 / $210.33 / $332.21	Professional		$127.15	$210.33	$332.21