Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.45 / $244.45 / $946.02	Facility		$244.45	$244.45	$946.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.18 / $270.45 / $323.63	Professional		$232.18	$270.45	$323.63
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 $452.29 / $593.98 / $593.98	Professional		$452.29	$593.98	$593.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.61 / $380.61 / $593.30	Facility		$380.61	$380.61	$593.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.85 / $277.85 / $698.63	Professional		$277.85	$277.85	$698.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $545.85 / $593.30 / $1,127.29	Professional		$545.85	$593.30	$1,127.29
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $244.45 / $244.45 / $946.02	Facility		$244.45	$244.45	$946.02
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $232.18 / $280.86 / $376.75	Professional		$232.18	$280.86	$376.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $735.60 / $846.00 / $1,168.90	Professional		$735.60	$846.00	$1,168.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $380.61 / $380.61 / $593.30	Facility		$380.61	$380.61	$593.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $277.85 / $277.85 / $698.63	Professional		$277.85	$277.85	$698.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $424.68 / $565.36 / $565.36	Facility		$424.68	$565.36	$565.36
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $424.68 / $565.36 / $573.51	Professional		$424.68	$565.36	$573.51
United Facility/Professional Professional Modifier Low / Median / High Price $223.15 / $296.33 / $493.88	Professional		$223.15	$296.33	$493.88