Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.63 / $425.63 / $450.67	Facility		$425.63	$425.63	$450.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.83 / $450.67 / $534.20	Professional		$319.83	$450.67	$534.20
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 $725.74 / $953.11 / $953.11	Professional		$725.74	$953.11	$953.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.69 / $510.69 / $817.29	Facility		$510.69	$510.69	$817.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.09 / $434.09 / $715.65	Professional		$434.09	$434.09	$715.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $751.91 / $817.29 / $1,552.85	Professional		$751.91	$817.29	$1,552.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $425.63 / $425.63 / $425.63	Facility		$425.63	$425.63	$425.63
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $319.83 / $450.67 / $622.53	Professional		$319.83	$450.67	$622.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,013.30 / $1,165.30 / $1,610.20	Professional		$1,013.30	$1,165.30	$1,610.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $510.69 / $510.69 / $817.29	Facility		$510.69	$510.69	$817.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $434.09 / $434.09 / $1,183.50	Professional		$434.09	$434.09	$1,183.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $681.43 / $907.18 / $907.18	Facility		$681.43	$907.18	$907.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $681.43 / $907.18 / $971.61	Professional		$681.43	$907.18	$971.61
United Facility/Professional Professional Modifier Low / Median / High Price $429.76 / $543.65 / $792.49	Professional		$429.76	$543.65	$792.49