Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.30 / $203.30 / $786.77	Facility		$203.30	$203.30	$786.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.32 / $226.87 / $321.77	Professional		$193.32	$226.87	$321.77
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 $376.15 / $494.00 / $494.00	Professional		$376.15	$494.00	$494.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $387.54 / $387.54 / $494.00	Facility		$387.54	$387.54	$494.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.89 / $282.89 / $432.56	Professional		$282.89	$282.89	$432.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $454.48 / $494.00 / $938.60	Professional		$454.48	$494.00	$938.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $203.30 / $203.30 / $786.77	Facility		$203.30	$203.30	$786.77
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $193.32 / $233.58 / $348.96	Professional		$193.32	$233.58	$348.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $334.50 / $673.70 / $973.30	Professional		$334.50	$673.70	$973.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $387.54 / $387.54 / $494.00	Facility		$387.54	$387.54	$494.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $282.89 / $282.89 / $694.50	Professional		$282.89	$282.89	$694.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $353.19 / $470.19 / $470.19	Facility		$353.19	$470.19	$470.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $353.19 / $470.19 / $570.22	Professional		$353.19	$470.19	$570.22
United Facility/Professional Professional Modifier Low / Median / High Price $206.56 / $250.77 / $445.49	Professional		$206.56	$250.77	$445.49