Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.02 / $196.02 / $758.60	Facility		$196.02	$196.02	$758.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.42 / $225.22 / $302.74	Professional		$190.42	$225.22	$302.74
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 $362.68 / $476.30 / $476.30	Professional		$362.68	$476.30	$476.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.62 / $297.62 / $486.55	Facility		$297.62	$297.62	$486.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.26 / $217.26 / $426.04	Professional		$217.26	$217.26	$426.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $447.63 / $486.55 / $924.45	Professional		$447.63	$486.55	$924.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $196.02 / $196.02 / $758.60	Facility		$196.02	$196.02	$758.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $190.41 / $225.22 / $357.59	Professional		$190.41	$225.22	$357.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $329.50 / $663.60 / $958.60	Professional		$329.50	$663.60	$958.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $297.62 / $297.62 / $486.55	Facility		$297.62	$297.62	$486.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $217.26 / $217.26 / $633.75	Professional		$217.26	$217.26	$633.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $340.54 / $453.35 / $453.35	Facility		$340.54	$453.35	$453.35
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $340.54 / $453.35 / $520.41	Professional		$340.54	$453.35	$520.41
United Facility/Professional Professional Modifier Low / Median / High Price $198.02 / $242.74 / $429.53	Professional		$198.02	$242.74	$429.53