Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.93 / $243.93 / $944.01	Facility		$243.93	$243.93	$944.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.76 / $258.27 / $332.87	Professional		$213.76	$258.27	$332.87
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 $415.93 / $546.23 / $546.23	Professional		$415.93	$546.23	$546.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $362.03 / $362.03 / $546.23	Facility		$362.03	$362.03	$546.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.27 / $264.27 / $478.30	Professional		$264.27	$264.27	$478.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $502.53 / $546.23 / $1,037.83	Professional		$502.53	$546.23	$1,037.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $243.93 / $243.93 / $944.01	Facility		$243.93	$243.93	$944.01
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $213.76 / $267.85 / $443.95	Professional		$213.76	$267.85	$443.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $677.30 / $778.90 / $1,076.20	Professional		$677.30	$778.90	$1,076.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $362.03 / $362.03 / $546.23	Facility		$362.03	$362.03	$546.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $264.27 / $264.27 / $648.75	Professional		$264.27	$264.27	$648.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $390.53 / $519.91 / $519.91	Facility		$390.53	$519.91	$519.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $390.53 / $519.91 / $532.70	Professional		$390.53	$519.91	$532.70
United Facility/Professional Professional Modifier Low / Median / High Price $246.30 / $296.69 / $492.60	Professional		$246.30	$296.69	$492.60