Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.32 / $237.32 / $251.28	Facility		$237.32	$237.32	$251.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.97 / $251.28 / $323.82	Professional		$207.97	$251.28	$323.82
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 $404.65 / $531.41 / $531.41	Professional		$404.65	$531.41	$531.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $388.32 / $388.32 / $531.41	Facility		$388.32	$388.32	$531.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.07 / $330.07 / $465.33	Professional		$330.07	$330.07	$465.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $488.91 / $531.41 / $1,009.70	Professional		$488.91	$531.41	$1,009.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $237.32 / $237.32 / $237.32	Facility		$237.32	$237.32	$237.32
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $207.97 / $251.28 / $366.13	Professional		$207.97	$251.28	$366.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $658.90 / $757.70 / $1,047.00	Professional		$658.90	$757.70	$1,047.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $388.32 / $388.32 / $531.41	Facility		$388.32	$388.32	$531.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $330.07 / $330.07 / $631.13	Professional		$330.07	$330.07	$631.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $379.94 / $505.81 / $505.81	Facility		$379.94	$505.81	$505.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $379.94 / $505.81 / $518.23	Professional		$379.94	$505.81	$518.23
United Facility/Professional Professional Modifier Low / Median / High Price $239.62 / $299.52 / $479.23	Professional		$239.62	$299.52	$479.23