Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.84 / $220.84 / $854.65	Facility		$220.84	$220.84	$854.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $244.33 / $351.69	Professional		$210.00	$244.33	$351.69
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 $408.60 / $536.60 / $536.60	Professional		$408.60	$536.60	$536.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.13 / $347.13 / $536.60	Facility		$347.13	$347.13	$536.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.40 / $253.40 / $469.87	Professional		$253.40	$253.40	$469.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $493.67 / $536.60 / $1,019.54	Professional		$493.67	$536.60	$1,019.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $220.84 / $220.84 / $854.65	Facility		$220.84	$220.84	$854.65
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $258.43 / $447.07	Professional		$210.00	$258.43	$447.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $363.40 / $731.90 / $1,057.20	Professional		$363.40	$731.90	$1,057.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $347.13 / $347.13 / $536.60	Facility		$347.13	$347.13	$536.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $253.40 / $253.40 / $622.13	Professional		$253.40	$253.40	$622.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $383.65 / $510.75 / $510.75	Facility		$383.65	$510.75	$510.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $383.65 / $510.75 / $510.75	Professional		$383.65	$510.75	$510.75
United Facility/Professional Professional Modifier Low / Median / High Price $224.38 / $270.39 / $483.91	Professional		$224.38	$270.39	$483.91