Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.40 / $245.40 / $949.70	Facility		$245.40	$245.40	$949.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.17 / $259.83 / $300.83	Professional		$236.17	$259.83	$300.83
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 $418.43 / $549.52 / $549.52	Professional		$418.43	$549.52	$549.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $365.10 / $365.10 / $642.66	Facility		$365.10	$365.10	$642.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.52 / $266.52 / $562.74	Professional		$266.52	$266.52	$562.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $591.26 / $642.66 / $1,221.07	Professional		$591.26	$642.66	$1,221.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $245.40 / $245.40 / $949.70	Facility		$245.40	$245.40	$949.70
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $236.17 / $259.83 / $370.32	Professional		$236.17	$259.83	$370.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $435.30 / $876.50 / $1,266.20	Professional		$435.30	$876.50	$1,266.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $365.10 / $365.10 / $642.66	Facility		$365.10	$365.10	$642.66
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $266.52 / $266.52 / $654.38	Professional		$266.52	$266.52	$654.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $262.58 / $262.58 / $523.04	Facility		$262.58	$262.58	$523.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $262.58 / $523.04 / $611.70	Professional		$262.58	$523.04	$611.70
United Facility/Professional Professional Modifier Low / Median / High Price $247.78 / $310.61 / $495.56	Professional		$247.78	$310.61	$495.56