Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.45 / $170.45 / $659.64	Facility		$170.45	$170.45	$659.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.90 / $199.47 / $274.14	Professional		$169.90	$199.47	$274.14
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 $298.70 / $328.86 / $328.86	Professional		$298.70	$328.86	$328.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $328.86 / $382.03 / $382.03	Facility		$328.86	$382.03	$382.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.88 / $278.88 / $408.03	Professional		$278.88	$278.88	$408.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $302.55 / $328.86 / $624.83	Professional		$302.55	$328.86	$624.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $170.45 / $170.45 / $659.64	Facility		$170.45	$170.45	$659.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $169.90 / $199.47 / $368.32	Professional		$169.90	$199.47	$368.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $652.10 / $793.10 / $793.10	Professional		$652.10	$793.10	$793.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $328.86 / $382.03 / $382.03	Facility		$328.86	$382.03	$382.03
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $278.88 / $278.88 / $426.00	Professional		$278.88	$278.88	$426.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $373.39 / $373.39 / $409.70	Facility		$373.39	$373.39	$409.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $362.34 / $373.39 / $409.70	Professional		$362.34	$373.39	$409.70
United Facility/Professional Professional Modifier Low / Median / High Price $197.32 / $280.81 / $491.78	Professional		$197.32	$280.81	$491.78