Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.01 / $212.01 / $820.48	Facility		$212.01	$212.01	$820.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.42 / $224.48 / $276.72	Professional		$196.42	$224.48	$276.72
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 $361.50 / $474.76 / $474.76	Professional		$361.50	$474.76	$474.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $335.84 / $335.84 / $575.99	Facility		$335.84	$335.84	$575.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.16 / $245.16 / $601.88	Professional		$245.16	$245.16	$601.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $535.33 / $581.88 / $1,105.57	Professional		$535.33	$581.88	$1,105.57
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $212.01 / $212.01 / $820.48	Facility		$212.01	$212.01	$820.48
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $207.86 / $227.71 / $385.86	Professional		$207.86	$227.71	$385.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $394.10 / $793.60 / $1,146.40	Professional		$394.10	$793.60	$1,146.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $335.84 / $335.84 / $575.99	Facility		$335.84	$335.84	$575.99
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $245.16 / $245.16 / $601.88	Professional		$245.16	$245.16	$601.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $226.87 / $226.87 / $451.88	Facility		$226.87	$226.87	$451.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $226.87 / $451.88 / $553.84	Professional		$226.87	$451.88	$553.84
United Facility/Professional Professional Modifier Low / Median / High Price $214.07 / $264.20 / $412.02	Professional		$214.07	$264.20	$412.02