Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.49 / $441.04 / $1,025.46	Facility		$271.49	$441.04	$1,025.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.73 / $262.50 / $354.04	Professional		$219.73	$262.50	$354.04
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 $238.52 / $247.52 / $506.92	Professional		$238.52	$247.52	$506.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $282.60 / $651.79 / $1,213.41	Facility		$282.60	$651.79	$1,213.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.55 / $298.33 / $502.86	Professional		$184.55	$298.33	$502.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $348.64 / $348.64 / $388.04	Professional		$348.64	$348.64	$388.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $271.49 / $441.04 / $1,025.46	Facility		$271.49	$441.04	$1,025.46
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $229.65 / $271.49 / $1,072.39	Professional		$229.65	$271.49	$1,072.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $252.11 / $514.80	Professional		$34.90	$252.11	$514.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $282.60 / $636.41 / $1,213.41	Facility		$282.60	$636.41	$1,213.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $191.32 / $300.50 / $523.42	Professional		$191.32	$300.50	$523.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $246.20 / $246.20 / $285.50	Facility		$246.20	$246.20	$285.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $241.70 / $246.20 / $285.50	Professional		$241.70	$246.20	$285.50
United Facility/Professional Professional Modifier Low / Median / High Price $225.02 / $315.38 / $515.27	Professional		$225.02	$315.38	$515.27