Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.57 / $151.57 / $586.58	Facility		$151.57	$151.57	$586.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.60 / $166.43 / $220.05	Professional		$148.60	$166.43	$220.05
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 $258.44 / $339.40 / $339.40	Professional		$258.44	$339.40	$339.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.07 / $244.07 / $448.26	Facility		$244.07	$244.07	$448.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.17 / $178.17 / $392.51	Professional		$178.17	$178.17	$392.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $412.40 / $448.26 / $851.69	Professional		$412.40	$448.26	$851.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $151.57 / $151.57 / $586.58	Facility		$151.57	$151.57	$586.58
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $148.60 / $166.43 / $282.61	Professional		$148.60	$166.43	$282.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $303.50 / $611.40 / $883.10	Professional		$303.50	$611.40	$883.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $244.07 / $244.07 / $448.26	Facility		$244.07	$244.07	$448.26
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $178.17 / $178.17 / $471.38	Professional		$178.17	$178.17	$471.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $323.05	Facility		$162.18	$162.18	$323.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $323.05 / $426.66	Professional		$162.18	$323.05	$426.66
United Facility/Professional Facility Modifier Low / Median / High Price $381.02 / $448.26 / $537.91	Facility		$381.02	$448.26	$537.91
United Facility/Professional Professional Modifier Low / Median / High Price $158.75 / $203.64 / $306.08	Professional		$158.75	$203.64	$306.08