Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.76 / $177.76 / $687.93	Facility		$177.76	$177.76	$687.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.82 / $188.22 / $265.77	Professional		$163.82	$188.22	$265.77
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 $303.10 / $398.05 / $398.05	Professional		$303.10	$398.05	$398.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.16 / $306.16 / $421.54	Facility		$306.16	$306.16	$421.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.50 / $223.50 / $369.12	Professional		$223.50	$223.50	$369.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $387.82 / $421.54 / $800.93	Professional		$387.82	$421.54	$800.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $177.76 / $177.76 / $687.93	Facility		$177.76	$177.76	$687.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $164.96 / $195.18 / $323.52	Professional		$164.96	$195.18	$323.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $285.50 / $574.90 / $830.50	Professional		$285.50	$574.90	$830.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $306.16 / $306.16 / $421.54	Facility		$306.16	$306.16	$421.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $223.50 / $223.50 / $548.63	Professional		$223.50	$223.50	$548.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $190.21 / $190.21 / $378.88	Facility		$190.21	$190.21	$378.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $190.21 / $378.88 / $401.23	Professional		$190.21	$378.88	$401.23
United Facility/Professional Professional Modifier Low / Median / High Price $186.92 / $215.14 / $347.79	Professional		$186.92	$215.14	$347.79