Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.63 / $126.63 / $490.06	Facility		$126.63	$126.63	$490.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.63 / $146.66 / $181.48	Professional		$126.63	$146.66	$181.48
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 $234.29 / $307.68 / $307.68	Professional		$234.29	$307.68	$307.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.57 / $218.57 / $374.77	Facility		$218.57	$218.57	$374.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.56 / $159.56 / $328.17	Professional		$159.56	$159.56	$328.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $344.79 / $374.77 / $712.06	Professional		$344.79	$374.77	$712.06
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $126.63 / $126.63 / $490.06	Facility		$126.63	$126.63	$490.06
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $126.63 / $146.66 / $236.28	Professional		$126.63	$146.66	$236.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $253.80 / $511.20 / $738.40	Professional		$253.80	$511.20	$738.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $218.57 / $218.57 / $374.77	Facility		$218.57	$218.57	$374.77
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $159.56 / $159.56 / $391.88	Professional		$159.56	$159.56	$391.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $220.00 / $292.86 / $292.86	Facility		$220.00	$292.86	$292.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $292.86 / $356.72	Professional		$220.00	$292.86	$356.72
United Facility/Professional Professional Modifier Low / Median / High Price $125.26 / $153.50 / $255.84	Professional		$125.26	$153.50	$255.84