Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.70 / $172.70 / $668.35	Facility		$172.70	$172.70	$668.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.41 / $182.85 / $238.47	Professional		$142.41	$182.85	$238.47
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 $294.45 / $386.71 / $386.71	Professional		$294.45	$386.71	$386.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.48 / $292.48 / $363.92	Facility		$292.48	$292.48	$363.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.51 / $213.51 / $318.66	Professional		$213.51	$213.51	$318.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $334.81 / $363.92 / $691.45	Professional		$334.81	$363.92	$691.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $172.70 / $172.70 / $668.35	Facility		$172.70	$172.70	$668.35
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $142.41 / $182.85 / $273.91	Professional		$142.41	$182.85	$273.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $246.50 / $496.30 / $717.00	Professional		$246.50	$496.30	$717.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $292.48 / $292.48 / $363.92	Facility		$292.48	$292.48	$363.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $213.51 / $213.51 / $524.25	Professional		$213.51	$213.51	$524.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $184.79 / $184.79 / $368.08	Facility		$184.79	$184.79	$368.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $184.79 / $368.08 / $375.44	Professional		$184.79	$368.08	$375.44
United Facility/Professional Professional Modifier Low / Median / High Price $175.89 / $217.97 / $337.88	Professional		$175.89	$217.97	$337.88