Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.55 / $180.55 / $698.73	Facility		$180.55	$180.55	$698.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.21 / $191.17 / $246.36	Professional		$158.21	$191.17	$246.36
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 $307.85 / $404.30 / $404.30	Professional		$307.85	$404.30	$404.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.94 / $267.94 / $404.30	Facility		$267.94	$267.94	$404.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.60 / $195.60 / $354.01	Professional		$195.60	$195.60	$354.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $371.96 / $404.30 / $768.17	Professional		$371.96	$404.30	$768.17
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $180.55 / $180.55 / $698.73	Facility		$180.55	$180.55	$698.73
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $158.21 / $191.17 / $278.54	Professional		$158.21	$191.17	$278.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $501.30 / $576.50 / $796.50	Professional		$501.30	$576.50	$796.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $267.94 / $267.94 / $404.30	Facility		$267.94	$267.94	$404.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $195.60 / $195.60 / $480.00	Professional		$195.60	$195.60	$480.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $289.04 / $384.81 / $384.81	Facility		$289.04	$384.81	$384.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $289.04 / $384.81 / $394.21	Professional		$289.04	$384.81	$394.21
United Facility/Professional Professional Modifier Low / Median / High Price $182.29 / $227.87 / $364.58	Professional		$182.29	$227.87	$364.58