Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.41 / $191.41 / $740.76	Facility		$191.41	$191.41	$740.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.41 / $223.99 / $284.82	Professional		$191.41	$223.99	$284.82
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 $354.15 / $465.10 / $465.10	Professional		$354.15	$465.10	$465.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $290.63 / $290.63 / $620.13	Facility		$290.63	$290.63	$620.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.16 / $212.16 / $543.01	Professional		$212.16	$212.16	$543.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $570.52 / $620.13 / $1,178.25	Professional		$570.52	$620.13	$1,178.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $191.41 / $191.41 / $740.76	Facility		$191.41	$191.41	$740.76
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $191.41 / $223.99 / $390.97	Professional		$191.41	$223.99	$390.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $420.00 / $845.80 / $1,221.80	Professional		$420.00	$845.80	$1,221.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $290.63 / $290.63 / $620.13	Facility		$290.63	$290.63	$620.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $212.16 / $212.16 / $574.50	Professional		$212.16	$212.16	$574.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $222.25 / $222.25 / $442.69	Facility		$222.25	$222.25	$442.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $442.69 / $590.25	Professional		$222.25	$442.69	$590.25
United Facility/Professional Facility Modifier Low / Median / High Price $444.22 / $444.22 / $444.22	Facility		$444.22	$444.22	$444.22
United Facility/Professional Professional Modifier Low / Median / High Price $192.24 / $238.49 / $511.61	Professional		$192.24	$238.49	$511.61