Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $678.35 / $894.15 / $894.15	Facility		$678.35	$894.15	$894.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.39 / $678.35 / $894.15	Professional		$83.39	$678.35	$894.15
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 $78.93 / $221.18 / $229.53	Professional		$78.93	$221.18	$229.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $803.63 / $803.63 / $803.63	Facility		$803.63	$803.63	$803.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.72 / $630.72 / $630.72	Professional		$630.72	$630.72	$630.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $297.30 / $297.30 / $297.30	Facility		$297.30	$297.30	$297.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $259.29 / $345.28 / $1,175.42	Professional		$259.29	$345.28	$1,175.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $894.15 / $894.15 / $894.15	Facility		$894.15	$894.15	$894.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $83.39 / $678.35 / $894.15	Professional		$83.39	$678.35	$894.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $897.10 / $1,076.70 / $1,076.70	Professional		$897.10	$1,076.70	$1,076.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $803.63 / $803.63 / $803.63	Facility		$803.63	$803.63	$803.63
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $630.72 / $630.72 / $630.72	Professional		$630.72	$630.72	$630.72
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $47.54 / $127.50 / $208.66	Facility		$47.54	$127.50	$208.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $47.54 / $133.36 / $223.01	Professional		$47.54	$133.36	$223.01
United Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $208.66 / $604.04	Professional		$65.88	$208.66	$604.04