Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.06 / $230.06 / $890.33	Facility		$230.06	$230.06	$890.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.43 / $243.59 / $309.27	Professional		$210.43	$243.59	$309.27
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 $392.28 / $515.16 / $515.16	Professional		$392.28	$515.16	$515.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.54 / $305.54 / $543.96	Facility		$305.54	$305.54	$543.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.04 / $223.04 / $476.31	Professional		$223.04	$223.04	$476.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $500.44 / $543.96 / $1,033.52	Professional		$500.44	$543.96	$1,033.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $230.06 / $230.06 / $890.33	Facility		$230.06	$230.06	$890.33
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $208.78 / $243.59 / $418.71	Professional		$208.78	$243.59	$418.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $368.40 / $741.90 / $1,071.70	Professional		$368.40	$741.90	$1,071.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $305.54 / $305.54 / $543.96	Facility		$305.54	$305.54	$543.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $223.04 / $223.04 / $661.88	Professional		$223.04	$223.04	$661.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $246.17 / $246.17 / $490.35	Facility		$246.17	$246.17	$490.35
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $246.17 / $490.35 / $517.75	Professional		$246.17	$490.35	$517.75
United Facility/Professional Facility Modifier Low / Median / High Price $244.40 / $244.40 / $244.40	Facility		$244.40	$244.40	$244.40
United Facility/Professional Professional Modifier Low / Median / High Price $240.96 / $286.51 / $450.11	Professional		$240.96	$286.51	$450.11