Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.02 / $187.02 / $723.77	Facility		$187.02	$187.02	$723.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.89 / $198.02 / $269.60	Professional		$163.89	$198.02	$269.60
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 $318.89 / $418.79 / $418.79	Professional		$318.89	$418.79	$418.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.20 / $327.20 / $418.79	Facility		$327.20	$327.20	$418.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.86 / $238.86 / $366.70	Professional		$238.86	$238.86	$366.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $385.29 / $418.79 / $795.70	Professional		$385.29	$418.79	$795.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $187.02 / $187.02 / $723.77	Facility		$187.02	$187.02	$723.77
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $163.88 / $198.02 / $327.18	Professional		$163.88	$198.02	$327.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $519.20 / $597.10 / $825.10	Professional		$519.20	$597.10	$825.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $327.20 / $327.20 / $418.79	Facility		$327.20	$327.20	$418.79
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $238.86 / $238.86 / $586.50	Professional		$238.86	$238.86	$586.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $299.42 / $398.61 / $398.61	Facility		$299.42	$398.61	$398.61
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $299.42 / $398.61 / $481.42	Professional		$299.42	$398.61	$481.42
United Facility/Professional Facility Modifier Low / Median / High Price $160.97 / $276.08 / $314.79	Facility		$160.97	$276.08	$314.79
United Facility/Professional Professional Modifier Low / Median / High Price $202.41 / $233.30 / $348.21	Professional		$202.41	$233.30	$348.21