Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.04 / $132.04 / $511.00	Facility		$132.04	$132.04	$511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.04 / $154.51 / $212.17	Professional		$132.04	$154.51	$212.17
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 $231.22 / $258.08 / $258.08	Professional		$231.22	$258.08	$258.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $258.08 / $312.30 / $312.30	Facility		$258.08	$312.30	$312.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.98 / $227.98 / $327.08	Professional		$227.98	$227.98	$327.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $237.44 / $258.08 / $490.37	Professional		$237.44	$258.08	$490.37
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $132.04 / $132.04 / $511.00	Facility		$132.04	$132.04	$511.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $132.04 / $154.51 / $285.04	Professional		$132.04	$154.51	$285.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $518.10 / $630.20 / $630.20	Professional		$518.10	$630.20	$630.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $258.08 / $312.30 / $312.30	Facility		$258.08	$312.30	$312.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $227.98 / $227.98 / $334.50	Professional		$227.98	$227.98	$334.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $289.02 / $289.02 / $309.25	Facility		$289.02	$289.02	$309.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $288.08 / $289.02 / $309.25	Professional		$288.08	$289.02	$309.25
United Facility/Professional Professional Modifier Low / Median / High Price $164.72 / $216.14 / $353.26	Professional		$164.72	$216.14	$353.26