Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.02 / $191.02 / $739.25	Facility		$191.02	$191.02	$739.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.97 / $219.47 / $268.70	Professional		$189.97	$219.47	$268.70
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 $353.42 / $464.15 / $464.15	Professional		$353.42	$464.15	$464.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $352.55 / $352.55 / $543.73	Facility		$352.55	$352.55	$543.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.36 / $257.36 / $476.11	Professional		$257.36	$257.36	$476.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $500.23 / $543.73 / $1,033.08	Professional		$500.23	$543.73	$1,033.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $191.02 / $191.02 / $739.25	Facility		$191.02	$191.02	$739.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $189.97 / $219.47 / $342.80	Professional		$189.97	$219.47	$342.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $368.20 / $741.60 / $1,071.20	Professional		$368.20	$741.60	$1,071.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $352.55 / $352.55 / $543.73	Facility		$352.55	$352.55	$543.73
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $257.36 / $257.36 / $580.13	Professional		$257.36	$257.36	$580.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $221.79 / $221.79 / $441.78	Facility		$221.79	$221.79	$441.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $221.79 / $441.78 / $517.53	Professional		$221.79	$441.78	$517.53
United Facility/Professional Professional Modifier Low / Median / High Price $194.44 / $250.85 / $418.57	Professional		$194.44	$250.85	$418.57