Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $864.00 / $2,239.27	Facility		$652.00	$864.00	$2,239.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.20 / $564.22 / $810.79	Professional		$404.20	$564.22	$810.79
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 $605.24 / $628.08 / $998.51	Professional		$605.24	$628.08	$998.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $649.44 / $1,540.15 / $2,486.34	Facility		$649.44	$1,540.15	$2,486.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.37 / $561.66 / $1,025.33	Professional		$221.37	$561.66	$1,025.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $402.26 / $783.74 / $997.60	Professional		$402.26	$783.74	$997.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $875.66 / $2,332.86	Facility		$652.00	$875.66	$2,332.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $404.20 / $614.92 / $2,640.34	Professional		$404.20	$614.92	$2,640.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $127.06 / $887.29 / $1,342.16	Professional		$127.06	$887.29	$1,342.16
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $517.29 / $1,361.26 / $2,486.34	Facility		$517.29	$1,361.26	$2,486.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $230.99 / $564.07 / $1,109.45	Professional		$230.99	$564.07	$1,109.45
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $382.78 / $609.59 / $609.59	Facility		$382.78	$609.59	$609.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $382.78 / $609.59 / $666.59	Professional		$382.78	$609.59	$666.59
United Facility/Professional Professional Modifier Low / Median / High Price $328.10 / $648.13 / $1,113.78	Professional		$328.10	$648.13	$1,113.78