Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.64 / $235.64 / $911.93	Facility		$235.64	$235.64	$911.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.49 / $249.50 / $332.66	Professional		$206.49	$249.50	$332.66
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 $401.78 / $527.65 / $527.65	Professional		$401.78	$527.65	$527.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $402.09 / $402.09 / $527.65	Facility		$402.09	$402.09	$527.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.52 / $293.52 / $462.03	Professional		$293.52	$293.52	$462.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $485.44 / $527.65 / $1,002.54	Professional		$485.44	$527.65	$1,002.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $235.64 / $235.64 / $911.93	Facility		$235.64	$235.64	$911.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $206.49 / $249.50 / $392.73	Professional		$206.49	$249.50	$392.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $357.40 / $719.60 / $1,039.59	Professional		$357.40	$719.60	$1,039.59
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $402.09 / $402.09 / $527.65	Facility		$402.09	$402.09	$527.65
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $293.52 / $293.52 / $720.75	Professional		$293.52	$293.52	$720.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $252.14 / $252.14 / $502.23	Facility		$252.14	$252.14	$502.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $252.14 / $502.23 / $512.27	Professional		$252.14	$502.23	$512.27
United Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $260.00 / $260.00	Facility		$260.00	$260.00	$260.00
United Facility/Professional Professional Modifier Low / Median / High Price $247.79 / $313.13 / $475.85	Professional		$247.79	$313.13	$475.85