Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.63 / $185.63 / $718.39	Facility		$185.63	$185.63	$718.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.92 / $185.63 / $235.32	Professional		$171.92	$185.63	$235.32
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 $316.52 / $415.69 / $415.69	Professional		$316.52	$415.69	$415.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.28 / $228.28 / $467.69	Facility		$228.28	$228.28	$467.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.64 / $166.64 / $409.65	Professional		$166.64	$166.64	$409.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $430.40 / $467.83 / $888.88	Professional		$430.40	$467.83	$888.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $185.63 / $185.63 / $718.39	Facility		$185.63	$185.63	$718.39
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $171.92 / $196.55 / $337.85	Professional		$171.92	$196.55	$337.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $316.89 / $638.10 / $921.70	Professional		$316.89	$638.10	$921.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $228.28 / $228.28 / $467.69	Facility		$228.28	$228.28	$467.69
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $166.64 / $166.64 / $423.38	Professional		$166.64	$166.64	$423.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $198.65 / $198.65 / $395.66	Facility		$198.65	$198.65	$395.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $198.65 / $395.66 / $445.29	Professional		$198.65	$395.66	$445.29
United Facility/Professional Professional Modifier Low / Median / High Price $187.44 / $224.67 / $374.88	Professional		$187.44	$224.67	$374.88