Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.55 / $240.55 / $930.93	Facility		$240.55	$240.55	$930.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.94 / $254.70 / $362.21	Professional		$212.94	$254.70	$362.21
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 $410.17 / $538.66 / $538.66	Professional		$410.17	$538.66	$538.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $393.88 / $393.88 / $544.13	Facility		$393.88	$393.88	$544.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.52 / $287.52 / $768.38	Professional		$287.52	$287.52	$768.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $500.60 / $544.13 / $1,033.84	Professional		$500.60	$544.13	$1,033.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $240.55 / $240.55 / $930.93	Facility		$240.55	$240.55	$930.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $212.94 / $264.14 / $437.80	Professional		$212.94	$264.14	$437.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $368.50 / $742.10 / $1,072.00	Professional		$368.50	$742.10	$1,072.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $393.88 / $393.88 / $544.13	Facility		$393.88	$393.88	$544.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $287.52 / $287.52 / $768.38	Professional		$287.52	$287.52	$768.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $257.39 / $257.39 / $512.71	Facility		$257.39	$257.39	$512.71
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $257.39 / $512.71 / $522.96	Professional		$257.39	$512.71	$522.96
United Facility/Professional Professional Modifier Low / Median / High Price $251.94 / $291.13 / $485.76	Professional		$251.94	$291.13	$485.76