Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.43 / $181.43 / $702.13	Facility		$181.43	$181.43	$702.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.99 / $193.57 / $259.08	Professional		$170.99	$193.57	$259.08
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 $309.35 / $406.26 / $406.26	Professional		$309.35	$406.26	$406.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $280.67 / $280.67 / $465.29	Facility		$280.67	$280.67	$465.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.89 / $204.89 / $407.42	Professional		$204.89	$204.89	$407.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $428.07 / $465.29 / $884.05	Professional		$428.07	$465.29	$884.05
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $181.43 / $181.43 / $702.13	Facility		$181.43	$181.43	$702.13
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $170.99 / $199.21 / $295.86	Professional		$170.99	$199.21	$295.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $315.10 / $634.60 / $916.70	Professional		$315.10	$634.60	$916.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $280.67 / $280.67 / $465.29	Facility		$280.67	$280.67	$465.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $204.89 / $204.89 / $552.75	Professional		$204.89	$204.89	$552.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $194.13 / $194.13 / $386.69	Facility		$194.13	$194.13	$386.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $194.13 / $386.69 / $442.87	Professional		$194.13	$386.69	$442.87
United Facility/Professional Professional Modifier Low / Median / High Price $190.78 / $243.76 / $366.37	Professional		$190.78	$243.76	$366.37