Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.09 / $152.09 / $588.59	Facility		$152.09	$152.09	$588.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.62 / $174.74 / $232.99	Professional		$144.62	$174.74	$232.99
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 $281.39 / $369.55 / $369.55	Professional		$281.39	$369.55	$369.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.92 / $230.92 / $369.55	Facility		$230.92	$230.92	$369.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.57 / $168.57 / $323.60	Professional		$168.57	$168.57	$323.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $339.99 / $369.55 / $702.15	Professional		$339.99	$369.55	$702.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $152.09 / $152.09 / $588.59	Facility		$152.09	$152.09	$588.59
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $144.62 / $174.74 / $277.45	Professional		$144.62	$174.74	$277.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $250.30 / $504.00 / $728.10	Professional		$250.30	$504.00	$728.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $230.92 / $230.92 / $369.55	Facility		$230.92	$230.92	$369.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $168.57 / $168.57 / $428.25	Professional		$168.57	$168.57	$428.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $176.59 / $176.59 / $351.75	Facility		$176.59	$176.59	$351.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $176.59 / $351.75 / $351.75	Professional		$176.59	$351.75	$351.75
United Facility/Professional Professional Modifier Low / Median / High Price $152.75 / $186.21 / $322.89	Professional		$152.75	$186.21	$322.89