Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.96 / $230.96 / $893.82	Facility		$230.96	$230.96	$893.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.22 / $244.54 / $315.77	Professional		$217.22	$244.54	$315.77
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 $393.81 / $517.17 / $517.17	Professional		$393.81	$517.17	$517.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $364.44 / $364.44 / $591.10	Facility		$364.44	$364.44	$591.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.04 / $266.04 / $517.59	Professional		$266.04	$266.04	$517.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $543.80 / $591.10 / $1,123.08	Professional		$543.80	$591.10	$1,123.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $230.96 / $230.96 / $893.82	Facility		$230.96	$230.96	$893.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $218.97 / $252.53 / $420.35	Professional		$218.97	$252.53	$420.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $400.30 / $806.20 / $1,164.59	Professional		$400.30	$806.20	$1,164.59
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $364.44 / $364.44 / $591.10	Facility		$364.44	$364.44	$591.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $266.04 / $266.04 / $599.63	Professional		$266.04	$266.04	$599.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $247.14 / $247.14 / $492.26	Facility		$247.14	$247.14	$492.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $247.14 / $492.26 / $562.62	Professional		$247.14	$492.26	$562.62
United Facility/Professional Professional Modifier Low / Median / High Price $241.90 / $310.31 / $466.39	Professional		$241.90	$310.31	$466.39