Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.86 / $189.86 / $734.76	Facility		$189.86	$189.86	$734.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.81 / $210.05 / $266.39	Professional		$188.81	$210.05	$266.39
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 $351.27 / $461.32 / $461.32	Professional		$351.27	$461.32	$461.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.00 / $251.00 / $512.63	Facility		$251.00	$251.00	$512.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.23 / $183.23 / $448.88	Professional		$183.23	$183.23	$448.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $471.62 / $512.63 / $974.00	Professional		$471.62	$512.63	$974.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $189.86 / $189.86 / $734.76	Facility		$189.86	$189.86	$734.76
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $174.52 / $214.11 / $324.52	Professional		$174.52	$214.11	$324.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $347.20 / $699.20 / $1,010.00	Professional		$347.20	$699.20	$1,010.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $251.00 / $251.00 / $512.63	Facility		$251.00	$251.00	$512.63
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $183.23 / $183.23 / $465.75	Professional		$183.23	$183.23	$465.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $329.82 / $439.09 / $439.09	Facility		$329.82	$439.09	$439.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $329.82 / $439.09 / $487.93	Professional		$329.82	$439.09	$487.93
United Facility/Professional Facility Modifier Low / Median / High Price $345.78 / $345.78 / $345.78	Facility		$345.78	$345.78	$345.78
United Facility/Professional Professional Modifier Low / Median / High Price $167.96 / $231.13 / $383.58	Professional		$167.96	$231.13	$383.58