Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.81 / $155.81 / $602.99	Facility		$155.81	$155.81	$602.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.81 / $182.33 / $216.61	Professional		$155.81	$182.33	$216.61
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 $288.27 / $378.59 / $378.59	Professional		$288.27	$378.59	$378.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.57 / $236.57 / $504.79	Facility		$236.57	$236.57	$504.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.70 / $172.70 / $438.75	Professional		$172.70	$172.70	$438.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $464.41 / $504.79 / $959.10	Professional		$464.41	$504.79	$959.10
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $155.81 / $155.81 / $602.99	Facility		$155.81	$155.81	$602.99
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $155.81 / $182.33 / $318.25	Professional		$155.81	$182.33	$318.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $341.90 / $688.50 / $994.50	Professional		$341.90	$688.50	$994.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $236.57 / $236.57 / $504.79	Facility		$236.57	$236.57	$504.79
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $172.70 / $172.70 / $438.75	Professional		$172.70	$172.70	$438.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $270.68 / $360.35 / $360.35	Facility		$270.68	$360.35	$360.35
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $270.68 / $360.35 / $480.47	Professional		$270.68	$360.35	$480.47
United Facility/Professional Professional Modifier Low / Median / High Price $158.31 / $190.77 / $341.42	Professional		$158.31	$190.77	$341.42