Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.09 / $156.09 / $604.07	Facility		$156.09	$156.09	$604.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.79 / $165.27 / $213.01	Professional		$136.79	$165.27	$213.01
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 $266.14 / $349.53 / $349.53	Professional		$266.14	$349.53	$349.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.66 / $231.66 / $349.53	Facility		$231.66	$231.66	$349.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.11 / $169.11 / $306.06	Professional		$169.11	$169.11	$306.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $321.57 / $349.53 / $664.11	Professional		$321.57	$349.53	$664.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $156.09 / $156.09 / $604.07	Facility		$156.09	$156.09	$604.07
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $136.79 / $165.27 / $240.78	Professional		$136.79	$165.27	$240.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $433.40 / $498.40 / $688.60	Professional		$433.40	$498.40	$688.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $231.66 / $231.66 / $349.53	Facility		$231.66	$231.66	$349.53
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $169.11 / $169.11 / $415.13	Professional		$169.11	$169.11	$415.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $249.90 / $332.69 / $332.69	Facility		$249.90	$332.69	$332.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $249.90 / $332.69 / $340.85	Professional		$249.90	$332.69	$340.85
United Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $188.91 / $315.20	Professional		$163.19	$188.91	$315.20