Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.18 / $238.18 / $921.76	Facility		$238.18	$238.18	$921.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.80 / $252.19 / $319.38	Professional		$203.80	$252.19	$319.38
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 $406.11 / $533.34 / $533.34	Professional		$406.11	$533.34	$533.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $340.42 / $340.42 / $520.77	Facility		$340.42	$340.42	$520.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.51 / $248.51 / $456.00	Professional		$248.51	$248.51	$456.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $479.11 / $520.77 / $989.46	Professional		$479.11	$520.77	$989.46
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $238.18 / $238.18 / $921.76	Facility		$238.18	$238.18	$921.76
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $203.80 / $256.95 / $433.49	Professional		$203.80	$256.95	$433.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $352.70 / $710.20 / $1,026.00	Professional		$352.70	$710.20	$1,026.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $340.42 / $340.42 / $520.77	Facility		$340.42	$340.42	$520.77
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $248.51 / $248.51 / $610.13	Professional		$248.51	$248.51	$610.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $254.85 / $254.85 / $507.64	Facility		$254.85	$254.85	$507.64
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $254.85 / $500.88 / $507.64	Professional		$254.85	$500.88	$507.64
United Facility/Professional Professional Modifier Low / Median / High Price $249.45 / $297.12 / $465.99	Professional		$249.45	$297.12	$465.99