Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.24 / $769.02 / $1,475.30	Facility		$411.24	$769.02	$1,475.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.33 / $386.87 / $558.33	Professional		$337.33	$386.87	$558.33
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 $416.78 / $432.51 / $702.70	Professional		$416.78	$432.51	$702.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.26 / $779.48 / $1,865.39	Facility		$264.26	$779.48	$1,865.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.64 / $452.16 / $737.25	Professional		$305.64	$452.16	$737.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $386.14 / $537.25 / $657.65	Professional		$386.14	$537.25	$657.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $452.36 / $770.65 / $1,475.30	Facility		$452.36	$770.65	$1,475.30
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $337.33 / $394.68 / $1,624.40	Professional		$337.33	$394.68	$1,624.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $296.44 / $411.64 / $800.40	Professional		$296.44	$411.64	$800.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $250.65 / $779.48 / $1,865.39	Facility		$250.65	$779.48	$1,865.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $318.72 / $469.43 / $752.08	Professional		$318.72	$469.43	$752.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $299.50 / $403.41 / $403.41	Facility		$299.50	$403.41	$403.41
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $299.50 / $403.41 / $432.55	Professional		$299.50	$403.41	$432.55
United Facility/Professional Professional Modifier Low / Median / High Price $305.30 / $453.99 / $741.15	Professional		$305.30	$453.99	$741.15