Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.54 / $202.54 / $783.83	Facility		$202.54	$202.54	$783.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.06 / $210.44 / $235.97	Professional		$140.06	$210.44	$235.97
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 $345.34 / $453.53 / $453.53	Professional		$345.34	$453.53	$453.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.81 / $297.81 / $357.90	Facility		$297.81	$297.81	$357.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.40 / $217.40 / $313.39	Professional		$217.40	$217.40	$313.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $329.27 / $357.90 / $680.01	Professional		$329.27	$357.90	$680.01
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $202.54 / $202.54 / $783.83	Facility		$202.54	$202.54	$783.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $140.06 / $214.45 / $368.62	Professional		$140.06	$214.45	$368.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $242.30 / $488.10 / $705.10	Professional		$242.30	$488.10	$705.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $297.81 / $297.81 / $357.90	Facility		$297.81	$297.81	$357.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $217.40 / $217.40 / $499.50	Professional		$217.40	$217.40	$499.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $216.73 / $216.73 / $431.68	Facility		$216.73	$216.73	$431.68
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $216.73 / $410.21 / $431.68	Professional		$216.73	$410.21	$431.68
United Facility/Professional Professional Modifier Low / Median / High Price $178.55 / $245.12 / $409.02	Professional		$178.55	$245.12	$409.02