Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,431.62 / $1,674.92 / $4,581.18	Facility		$1,431.62	$1,674.92	$4,581.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $507.13 / $1,213.71 / $1,461.29	Professional		$507.13	$1,213.71	$1,461.29
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 $492.71 / $1,581.65 / $1,641.33	Professional		$492.71	$1,581.65	$1,641.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $247.50 / $541.16 / $3,803.88	Facility		$247.50	$541.16	$3,803.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.33 / $317.14 / $496.44	Professional		$195.33	$317.14	$496.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $314.22 / $391.61 / $776.21	Professional		$314.22	$391.61	$776.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,431.62 / $1,735.61 / $4,681.39	Facility		$1,431.62	$1,735.61	$4,681.39
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $676.28 / $1,221.95 / $1,645.29	Professional		$676.28	$1,221.95	$1,645.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $59.02 / $333.40 / $446.80	Professional		$59.02	$333.40	$446.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $237.04 / $525.39 / $4,526.49	Facility		$237.04	$525.39	$4,526.49
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $199.11 / $307.82 / $506.84	Professional		$199.11	$307.82	$506.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $270.00 / $275.82 / $275.82	Facility		$270.00	$275.82	$275.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $243.19 / $270.00 / $276.41	Professional		$243.19	$270.00	$276.41
United Facility/Professional Professional Modifier Low / Median / High Price $259.88 / $1,641.34 / $2,842.98	Professional		$259.88	$1,641.34	$2,842.98