Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.44 / $155.44 / $601.59	Facility		$155.44	$155.44	$601.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.27 / $171.98 / $207.11	Professional		$131.27	$171.98	$207.11
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 $287.61 / $377.71 / $377.71	Professional		$287.61	$377.71	$377.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.71 / $180.71 / $385.60	Facility		$180.71	$180.71	$385.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $131.91 / $337.64	Professional		$131.91	$131.91	$337.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $354.75 / $385.60 / $732.64	Professional		$354.75	$385.60	$732.64
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $155.44 / $155.44 / $601.59	Facility		$155.44	$155.44	$601.59
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $131.27 / $171.98 / $243.10	Professional		$131.27	$171.98	$243.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $261.20 / $502.00 / $759.70	Professional		$261.20	$502.00	$759.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $180.71 / $180.71 / $385.60	Facility		$180.71	$180.71	$385.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $131.91 / $447.00	Professional		$131.91	$131.91	$447.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $270.05 / $359.51 / $359.51	Facility		$270.05	$359.51	$359.51
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $270.05 / $359.51 / $367.02	Professional		$270.05	$359.51	$367.02
United Facility/Professional Professional Modifier Low / Median / High Price $130.40 / $188.44 / $340.62	Professional		$130.40	$188.44	$340.62