Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.18 / $174.18 / $674.08	Facility		$174.18	$174.18	$674.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.58 / $184.42 / $244.20	Professional		$151.58	$184.42	$244.20
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 $296.98 / $390.02 / $390.02	Professional		$296.98	$390.02	$390.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.27 / $305.27 / $387.35	Facility		$305.27	$305.27	$387.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.85 / $222.85 / $339.17	Professional		$222.85	$222.85	$339.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $356.36 / $387.35 / $735.97	Professional		$356.36	$387.35	$735.97
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $174.18 / $174.18 / $674.08	Facility		$174.18	$174.18	$674.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $151.58 / $191.25 / $284.97	Professional		$151.58	$191.25	$284.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $262.39 / $528.29 / $763.10	Professional		$262.39	$528.29	$763.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $305.27 / $305.27 / $387.35	Facility		$305.27	$305.27	$387.35
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $222.85 / $222.85 / $509.63	Professional		$222.85	$222.85	$509.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $186.36 / $186.36 / $371.23	Facility		$186.36	$186.36	$371.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $186.36 / $371.23 / $378.65	Professional		$186.36	$371.23	$378.65
United Facility/Professional Professional Modifier Low / Median / High Price $182.11 / $227.37 / $351.72	Professional		$182.11	$227.37	$351.72