Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.78 / $651.60 / $995.38	Facility		$192.78	$651.60	$995.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.11 / $192.78 / $1,530.34	Professional		$106.11	$192.78	$1,530.34
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 $185.64 / $185.64 / $185.64	Professional		$185.64	$185.64	$185.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.86 / $351.66 / $789.96	Facility		$225.86	$351.66	$789.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.01 / $225.36 / $538.40	Professional		$75.01	$225.36	$538.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $141.61 / $321.30 / $497.38	Professional		$141.61	$321.30	$497.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $202.30 / $651.60 / $982.94	Facility		$202.30	$651.60	$982.94
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $202.30 / $982.94	Professional		$150.00	$202.30	$982.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $352.24 / $357.00 / $476.00	Professional		$352.24	$357.00	$476.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $231.73 / $395.95 / $789.96	Facility		$231.73	$395.95	$789.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $228.82 / $538.40	Professional		$87.64	$228.82	$538.40
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $179.19 / $238.00 / $238.00	Facility		$179.19	$238.00	$238.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $179.19 / $238.00 / $238.00	Professional		$179.19	$238.00	$238.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $142.80 / $317.77	Professional		$80.84	$142.80	$317.77