Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.03 / $371.58 / $1,025.46	Facility		$221.03	$371.58	$1,025.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.77 / $208.56 / $269.20	Professional		$178.77	$208.56	$269.20
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 $200.95 / $208.54 / $401.04	Professional		$200.95	$208.54	$401.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.56 / $594.79 / $1,213.41	Facility		$223.56	$594.79	$1,213.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.44 / $228.44 / $393.48	Professional		$140.44	$228.44	$393.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $293.80 / $293.80 / $327.75	Professional		$293.80	$293.80	$327.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $221.03 / $388.43 / $873.07	Facility		$221.03	$388.43	$873.07
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $178.77 / $221.03 / $873.07	Professional		$178.77	$221.03	$873.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.99 / $208.59 / $452.79	Professional		$32.99	$208.59	$452.79
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $223.56 / $578.42 / $1,213.41	Facility		$223.56	$578.42	$1,213.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $145.63 / $246.46 / $396.66	Professional		$145.63	$246.46	$396.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $188.00 / $206.01 / $206.01	Facility		$188.00	$206.01	$206.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $188.00 / $206.01 / $224.79	Professional		$188.00	$206.01	$224.79
United Facility/Professional Professional Modifier Low / Median / High Price $170.62 / $238.47 / $404.11	Professional		$170.62	$238.47	$404.11