Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.86 / $220.86 / $854.73	Facility		$220.86	$220.86	$854.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.31 / $253.76 / $332.51	Professional		$215.31	$253.76	$332.51
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 $408.64 / $536.66 / $536.66	Professional		$408.64	$536.66	$536.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $335.34 / $335.34 / $550.16	Facility		$335.34	$335.34	$550.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.80 / $244.80 / $481.75	Professional		$244.80	$244.80	$481.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $506.16 / $550.16 / $1,045.32	Professional		$506.16	$550.16	$1,045.32
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $220.86 / $220.86 / $854.73	Facility		$220.86	$220.86	$854.73
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $215.31 / $258.45 / $402.91	Professional		$215.31	$258.45	$402.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $372.60 / $750.40 / $1,083.90	Professional		$372.60	$750.40	$1,083.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $335.34 / $335.34 / $550.16	Facility		$335.34	$335.34	$550.16
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $244.80 / $244.80 / $680.63	Professional		$244.80	$244.80	$680.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $383.70 / $510.80 / $510.80	Facility		$383.70	$510.80	$510.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $383.70 / $510.80 / $558.85	Professional		$383.70	$510.80	$558.85
United Facility/Professional Professional Modifier Low / Median / High Price $221.60 / $273.11 / $550.16	Professional		$221.60	$273.11	$550.16