Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.15 / $239.15 / $925.51	Facility		$239.15	$239.15	$925.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.70 / $264.60 / $336.88	Professional		$237.70	$264.60	$336.88
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 $442.49 / $581.11 / $581.11	Professional		$442.49	$581.11	$581.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.04 / $379.04 / $607.39	Facility		$379.04	$379.04	$607.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.70 / $276.70 / $661.13	Professional		$276.70	$276.70	$661.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $558.79 / $607.39 / $1,154.04	Professional		$558.79	$607.39	$1,154.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $239.15 / $239.15 / $925.51	Facility		$239.15	$239.15	$925.51
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $215.38 / $274.77 / $390.27	Professional		$215.38	$274.77	$390.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $411.40 / $828.40 / $1,196.70	Professional		$411.40	$828.40	$1,196.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $379.04 / $379.04 / $607.39	Facility		$379.04	$379.04	$607.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $276.70 / $276.70 / $661.13	Professional		$276.70	$276.70	$661.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $415.48 / $553.11 / $553.11	Facility		$415.48	$553.11	$553.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $415.48 / $553.11 / $578.12	Professional		$415.48	$553.11	$578.12
United Facility/Professional Facility Modifier Low / Median / High Price $259.82 / $259.82 / $259.82	Facility		$259.82	$259.82	$259.82
United Facility/Professional Professional Modifier Low / Median / High Price $216.12 / $292.17 / $524.05	Professional		$216.12	$292.17	$524.05