Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.90 / $233.90 / $905.19	Facility		$233.90	$233.90	$905.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.11 / $233.90 / $278.89	Professional		$173.11	$233.90	$278.89
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 $398.82 / $523.76 / $523.76	Professional		$398.82	$523.76	$523.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.52 / $274.52 / $442.37	Facility		$274.52	$274.52	$442.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $200.41 / $387.35	Professional		$200.41	$200.41	$387.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $406.98 / $442.37 / $840.50	Professional		$406.98	$442.37	$840.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $233.90 / $233.90 / $905.19	Facility		$233.90	$233.90	$905.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $173.11 / $247.65 / $315.76	Professional		$173.11	$247.65	$315.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $299.60 / $603.29 / $871.50	Professional		$299.60	$603.29	$871.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $274.52 / $274.52 / $442.37	Facility		$274.52	$274.52	$442.37
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $200.41 / $492.00	Professional		$200.41	$200.41	$492.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $250.28 / $250.28 / $498.52	Facility		$250.28	$250.28	$498.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $250.28 / $421.05 / $498.52	Professional		$250.28	$421.05	$498.52
United Facility/Professional Professional Modifier Low / Median / High Price $220.69 / $288.74 / $435.50	Professional		$220.69	$288.74	$435.50