Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $493.35 / $646.29 / $1,578.72	Facility		$493.35	$646.29	$1,578.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.77 / $421.34 / $558.24	Professional		$279.77	$421.34	$558.24
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 $138.56 / $563.92 / $585.21	Professional		$138.56	$563.92	$585.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.45 / $132.61 / $1,314.57	Facility		$55.45	$132.61	$1,314.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.07 / $88.67 / $137.72	Professional		$54.07	$88.67	$137.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.40 / $104.40 / $207.48	Professional		$87.40	$104.40	$207.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $493.35 / $646.29 / $1,613.25	Facility		$493.35	$646.29	$1,613.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $348.69 / $460.40 / $777.47	Professional		$348.69	$460.40	$777.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $93.80 / $93.80 / $124.90	Professional		$93.80	$93.80	$124.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $53.33 / $122.99 / $1,555.35	Facility		$53.33	$122.99	$1,555.35
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $54.62 / $86.52 / $141.22	Professional		$54.62	$86.52	$141.22
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $77.09 / $77.09	Facility		$77.00	$77.09	$77.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $76.84 / $77.00 / $132.83	Professional		$76.84	$77.00	$132.83
United Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $508.51 / $894.62	Professional		$73.06	$508.51	$894.62