Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.09 / $234.09 / $905.93	Facility		$234.09	$234.09	$905.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.09 / $273.93 / $396.78	Professional		$234.09	$273.93	$396.78
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 $433.11 / $568.79 / $568.79	Professional		$433.11	$568.79	$568.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $477.88 / $477.88 / $757.87	Facility		$477.88	$477.88	$757.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.85 / $348.85 / $856.50	Professional		$348.85	$348.85	$856.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $697.72 / $758.39 / $1,440.94	Professional		$697.72	$758.39	$1,440.94
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $234.09 / $234.09 / $905.93	Facility		$234.09	$234.09	$905.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $234.09 / $273.93 / $478.14	Professional		$234.09	$273.93	$478.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $513.70 / $1,034.40 / $1,494.20	Professional		$513.70	$1,034.40	$1,494.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $477.88 / $477.88 / $757.87	Facility		$477.88	$477.88	$757.87
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $348.85 / $348.85 / $856.50	Professional		$348.85	$348.85	$856.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $271.80 / $271.80 / $541.39	Facility		$271.80	$271.80	$541.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $271.80 / $541.39 / $721.85	Professional		$271.80	$541.39	$721.85
United Facility/Professional Professional Modifier Low / Median / High Price $237.84 / $286.89 / $496.97	Professional		$237.84	$286.89	$496.97