Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.18 / $215.18 / $832.75	Facility		$215.18	$215.18	$832.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.00 / $247.23 / $348.60	Professional		$214.00	$247.23	$348.60
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 $398.14 / $522.86 / $522.86	Professional		$398.14	$522.86	$522.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.35 / $373.35 / $599.91	Facility		$373.35	$373.35	$599.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.55 / $272.55 / $525.29	Professional		$272.55	$272.55	$525.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $551.91 / $599.91 / $1,139.83	Professional		$551.91	$599.91	$1,139.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $215.18 / $215.18 / $832.75	Facility		$215.18	$215.18	$832.75
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $214.00 / $247.23 / $423.80	Professional		$214.00	$247.23	$423.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $406.20 / $818.20 / $1,181.90	Professional		$406.20	$818.20	$1,181.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $373.35 / $373.35 / $599.91	Facility		$373.35	$373.35	$599.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $272.55 / $272.55 / $606.00	Professional		$272.55	$272.55	$606.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $373.82 / $497.67 / $497.67	Facility		$373.82	$497.67	$497.67
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $373.82 / $497.67 / $571.00	Professional		$373.82	$497.67	$571.00
United Facility/Professional Professional Modifier Low / Median / High Price $217.38 / $266.08 / $471.52	Professional		$217.38	$266.08	$471.52