Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.59 / $148.59 / $575.04	Facility		$148.59	$148.59	$575.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.82 / $157.33 / $202.74	Professional		$132.82	$157.33	$202.74
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 $253.37 / $332.74 / $332.74	Professional		$253.37	$332.74	$332.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.51 / $220.51 / $339.38	Facility		$220.51	$220.51	$339.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.97 / $160.97 / $297.18	Professional		$160.97	$160.97	$297.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $312.23 / $339.38 / $644.82	Professional		$312.23	$339.38	$644.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $148.59 / $148.59 / $575.04	Facility		$148.59	$148.59	$575.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $132.82 / $163.16 / $270.43	Professional		$132.82	$163.16	$270.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $229.80 / $462.90 / $668.70	Professional		$229.80	$462.90	$668.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $220.51 / $220.51 / $339.38	Facility		$220.51	$220.51	$339.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $160.97 / $160.97 / $395.25	Professional		$160.97	$160.97	$395.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $230.08 / $230.08 / $316.70	Facility		$230.08	$230.08	$316.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $230.08 / $316.70 / $323.04	Professional		$230.08	$316.70	$323.04
United Facility/Professional Professional Modifier Low / Median / High Price $152.90 / $199.64 / $300.06	Professional		$152.90	$199.64	$300.06