Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.26 / $234.26 / $906.59	Facility		$234.26	$234.26	$906.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.74 / $259.18 / $350.48	Professional		$218.74	$259.18	$350.48
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 $433.43 / $569.22 / $569.22	Professional		$433.43	$569.22	$569.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.57 / $373.57 / $558.94	Facility		$373.57	$373.57	$558.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $272.70 / $489.42	Professional		$272.70	$272.70	$489.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $514.22 / $558.94 / $1,061.99	Professional		$514.22	$558.94	$1,061.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $234.26 / $234.26 / $906.59	Facility		$234.26	$234.26	$906.59
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $218.74 / $272.43 / $410.87	Professional		$218.74	$272.43	$410.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $693.00 / $797.00 / $1,101.20	Professional		$693.00	$797.00	$1,101.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $373.57 / $373.57 / $558.94	Facility		$373.57	$373.57	$558.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $272.70 / $669.38	Professional		$272.70	$272.70	$669.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $272.00 / $272.00 / $541.79	Facility		$272.00	$272.00	$541.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $272.00 / $541.79 / $549.66	Professional		$272.00	$541.79	$549.66
United Facility/Professional Facility Modifier Low / Median / High Price $214.85 / $276.36 / $364.85	Facility		$214.85	$276.36	$364.85
United Facility/Professional Professional Modifier Low / Median / High Price $233.72 / $283.97 / $513.32	Professional		$233.72	$283.97	$513.32