Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.13 / $234.13 / $906.08	Facility		$234.13	$234.13	$906.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.63 / $259.04 / $314.69	Professional		$222.63	$259.04	$314.69
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 $433.19 / $568.90 / $568.90	Professional		$433.19	$568.90	$568.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $325.37 / $325.37 / $568.90	Facility		$325.37	$325.37	$568.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.52 / $237.52 / $498.15	Professional		$237.52	$237.52	$498.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $523.39 / $568.90 / $1,080.91	Professional		$523.39	$568.90	$1,080.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $234.13 / $234.13 / $906.08	Facility		$234.13	$234.13	$906.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $222.63 / $273.98 / $433.19	Professional		$222.63	$273.98	$433.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $260.50 / $811.20 / $1,120.80	Professional		$260.50	$811.20	$1,120.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $325.37 / $325.37 / $568.90	Facility		$325.37	$325.37	$568.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $237.52 / $237.52 / $675.75	Professional		$237.52	$237.52	$675.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $406.74 / $541.49 / $541.49	Facility		$406.74	$541.49	$541.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $406.74 / $541.49 / $554.79	Professional		$406.74	$541.49	$554.79
United Facility/Professional Professional Modifier Low / Median / High Price $216.48 / $286.66 / $473.03	Professional		$216.48	$286.66	$473.03