Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.33 / $167.33 / $647.57	Facility		$167.33	$167.33	$647.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $184.97 / $222.66	Professional		$166.41	$184.97	$222.66
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 $309.60 / $406.59 / $406.59	Professional		$309.60	$406.59	$406.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.27 / $218.27 / $449.87	Facility		$218.27	$218.27	$449.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.34 / $159.34 / $391.13	Professional		$159.34	$159.34	$391.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $413.88 / $449.87 / $854.75	Professional		$413.88	$449.87	$854.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $167.33 / $167.33 / $647.57	Facility		$167.33	$167.33	$647.57
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $165.88 / $185.14 / $283.62	Professional		$165.88	$185.14	$283.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $304.60 / $613.60 / $886.30	Professional		$304.60	$613.60	$886.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $218.27 / $218.27 / $449.87	Facility		$218.27	$218.27	$449.87
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $159.34 / $159.34 / $391.13	Professional		$159.34	$159.34	$391.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $290.70 / $387.00 / $387.00	Facility		$290.70	$387.00	$387.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $290.70 / $387.00 / $428.19	Professional		$290.70	$387.00	$428.19
United Facility/Professional Professional Modifier Low / Median / High Price $141.08 / $202.84 / $338.07	Professional		$141.08	$202.84	$338.07