Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.45 / $869.79 / $1,026.34	Facility		$382.45	$869.79	$1,026.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.90 / $196.32 / $198.81	Professional		$183.90	$196.32	$198.81
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 $193.84 / $193.84 / $193.84	Professional		$193.84	$193.84	$193.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.83 / $367.14 / $824.73	Facility		$235.83	$367.14	$824.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,197.82 / $1,197.82 / $1,197.82	Professional		$1,197.82	$1,197.82	$1,197.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $260.94 / $335.49 / $613.82	Professional		$260.94	$335.49	$613.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $675.75 / $1,026.34 / $1,026.34	Facility		$675.75	$1,026.34	$1,026.34
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $186.38 / $1,026.34 / $1,026.34	Professional		$186.38	$1,026.34	$1,026.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $367.79 / $372.76 / $497.02	Professional		$367.79	$372.76	$497.02
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $241.80 / $413.44 / $824.73	Facility		$241.80	$413.44	$824.73
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,197.82 / $1,197.82 / $1,197.82	Professional		$1,197.82	$1,197.82	$1,197.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $248.51 / $248.51 / $273.36	Facility		$248.51	$248.51	$273.36
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $248.51 / $248.51 / $273.36	Professional		$248.51	$248.51	$273.36
United Facility/Professional Professional Modifier Low / Median / High Price $104.37 / $149.11 / $454.77	Professional		$104.37	$149.11	$454.77