Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.94 / $192.94 / $746.68	Facility		$192.94	$192.94	$746.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.15 / $204.29 / $273.50	Professional		$176.15	$204.29	$273.50
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 $328.98 / $432.04 / $432.04	Professional		$328.98	$432.04	$432.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.52 / $299.52 / $479.35	Facility		$299.52	$299.52	$479.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.65 / $218.65 / $419.74	Professional		$218.65	$218.65	$419.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $441.00 / $479.35 / $910.77	Professional		$441.00	$479.35	$910.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $192.94 / $192.94 / $746.68	Facility		$192.94	$192.94	$746.68
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $176.15 / $204.29 / $303.94	Professional		$176.15	$204.29	$303.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $324.70 / $653.79 / $944.40	Professional		$324.70	$653.79	$944.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $299.52 / $299.52 / $479.35	Facility		$299.52	$299.52	$479.35
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $218.65 / $218.65 / $536.63	Professional		$218.65	$218.65	$536.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $206.45 / $206.45 / $411.22	Facility		$206.45	$206.45	$411.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $206.45 / $411.22 / $456.26	Professional		$206.45	$411.22	$456.26
United Facility/Professional Facility Modifier Low / Median / High Price $462.82 / $544.49 / $653.39	Facility		$462.82	$544.49	$653.39
United Facility/Professional Professional Modifier Low / Median / High Price $202.89 / $239.14 / $389.62	Professional		$202.89	$239.14	$389.62