Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.09 / $162.09 / $627.29	Facility		$162.09	$162.09	$627.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.19 / $186.23 / $265.85	Professional		$161.19	$186.23	$265.85
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 $299.89 / $393.85 / $393.85	Professional		$299.89	$393.85	$393.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $246.11 / $246.11 / $421.34	Facility		$246.11	$246.11	$421.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.66 / $179.66 / $368.93	Professional		$179.66	$179.66	$368.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $387.63 / $421.34 / $800.55	Professional		$387.63	$421.34	$800.55
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $162.09 / $162.09 / $627.29	Facility		$162.09	$162.09	$627.29
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $161.19 / $186.23 / $294.74	Professional		$161.19	$186.23	$294.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $167.40 / $285.39 / $830.10	Professional		$167.40	$285.39	$830.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $246.11 / $246.11 / $421.34	Facility		$246.11	$246.11	$421.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $179.66 / $179.66 / $573.75	Professional		$179.66	$179.66	$573.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $281.58 / $374.88 / $374.88	Facility		$281.58	$374.88	$374.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $281.58 / $374.88 / $471.11	Professional		$281.58	$374.88	$471.11
United Facility/Professional Professional Modifier Low / Median / High Price $162.79 / $210.20 / $421.34	Professional		$162.79	$210.20	$421.34