Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.02 / $223.02 / $863.09	Facility		$223.02	$223.02	$863.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.79 / $256.24 / $347.85	Professional		$221.79	$256.24	$347.85
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 $412.63 / $541.90 / $541.90	Professional		$412.63	$541.90	$541.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $324.30 / $324.30 / $639.45	Facility		$324.30	$324.30	$639.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.74 / $236.74 / $750.75	Professional		$236.74	$236.74	$750.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $588.29 / $639.45 / $1,214.96	Professional		$588.29	$639.45	$1,214.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $223.02 / $223.02 / $863.09	Facility		$223.02	$223.02	$863.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $217.69 / $256.24 / $403.15	Professional		$217.69	$256.24	$403.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $433.10 / $872.10 / $1,259.80	Professional		$433.10	$872.10	$1,259.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $324.30 / $324.30 / $639.45	Facility		$324.30	$324.30	$639.45
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $236.74 / $236.74 / $750.75	Professional		$236.74	$236.74	$750.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $387.44 / $515.79 / $515.79	Facility		$387.44	$515.79	$515.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $387.44 / $515.79 / $616.41	Professional		$387.44	$515.79	$616.41
United Facility/Professional Professional Modifier Low / Median / High Price $217.01 / $270.35 / $480.48	Professional		$217.01	$270.35	$480.48