Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.02 / $138.02 / $534.14	Facility		$138.02	$138.02	$534.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.26 / $158.57 / $184.55	Professional		$137.26	$158.57	$184.55
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 $255.36 / $335.36 / $335.36	Professional		$255.36	$335.36	$335.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.25 / $192.25 / $335.36	Facility		$192.25	$192.25	$335.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.34 / $140.34 / $300.00	Professional		$140.34	$140.34	$300.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $308.52 / $335.36 / $637.17	Professional		$308.52	$335.36	$637.17
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $138.02 / $138.02 / $534.14	Facility		$138.02	$138.02	$534.14
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $131.24 / $161.51 / $185.49	Professional		$131.24	$161.51	$185.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $415.80 / $478.20 / $660.70	Professional		$415.80	$478.20	$660.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $192.25 / $192.25 / $335.36	Facility		$192.25	$192.25	$335.36
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $140.34 / $140.34 / $398.25	Professional		$140.34	$140.34	$398.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $239.76 / $319.20 / $319.20	Facility		$239.76	$319.20	$319.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $239.76 / $319.20 / $327.05	Professional		$239.76	$319.20	$327.05
United Facility/Professional Professional Modifier Low / Median / High Price $127.91 / $176.41 / $278.83	Professional		$127.91	$176.41	$278.83