Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.38 / $159.38 / $616.79	Facility		$159.38	$159.38	$616.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.46 / $159.38 / $177.22	Professional		$109.46	$159.38	$177.22
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 $271.75 / $356.88 / $356.88	Professional		$271.75	$356.88	$356.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.77 / $174.77 / $279.69	Facility		$174.77	$174.77	$279.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.58 / $127.58 / $244.91	Professional		$127.58	$127.58	$244.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $257.31 / $279.69 / $531.41	Professional		$257.31	$279.69	$531.41
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $159.38 / $159.38 / $616.79	Facility		$159.38	$159.38	$616.79
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $109.46 / $168.75 / $290.07	Professional		$109.46	$168.75	$290.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $189.40 / $381.50 / $551.00	Professional		$189.40	$381.50	$551.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $174.77 / $174.77 / $279.69	Facility		$174.77	$174.77	$279.69
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $127.58 / $127.58 / $324.38	Professional		$127.58	$127.58	$324.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $170.54 / $170.54 / $339.69	Facility		$170.54	$170.54	$339.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $170.54 / $266.22 / $339.69	Professional		$170.54	$266.22	$339.69
United Facility/Professional Professional Modifier Low / Median / High Price $139.54 / $192.89 / $296.75	Professional		$139.54	$192.89	$296.75