Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.47 / $206.47 / $799.04	Facility		$206.47	$206.47	$799.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.86 / $218.62 / $292.08	Professional		$183.86	$218.62	$292.08
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 $352.06 / $462.35 / $462.35	Professional		$352.06	$462.35	$462.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $366.26 / $366.26 / $469.82	Facility		$366.26	$366.26	$469.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $267.37 / $411.39	Professional		$267.37	$267.37	$411.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $432.23 / $469.82 / $892.66	Professional		$432.23	$469.82	$892.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $206.47 / $206.47 / $799.04	Facility		$206.47	$206.47	$799.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $181.80 / $218.62 / $375.78	Professional		$181.80	$218.62	$375.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $318.20 / $640.79 / $925.60	Professional		$318.20	$640.79	$925.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $366.26 / $366.26 / $469.82	Facility		$366.26	$366.26	$469.82
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $267.37 / $635.25	Professional		$267.37	$267.37	$635.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $220.94 / $220.94 / $440.07	Facility		$220.94	$220.94	$440.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $220.94 / $440.07 / $448.87	Professional		$220.94	$440.07	$448.87
United Facility/Professional Professional Modifier Low / Median / High Price $215.88 / $253.65 / $403.96	Professional		$215.88	$253.65	$403.96