Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.11 / $906.21 / $1,384.33	Facility		$268.11	$906.21	$1,384.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.29 / $268.11 / $2,128.33	Professional		$156.29	$268.11	$2,128.33
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 $258.18 / $258.18 / $258.18	Professional		$258.18	$258.18	$258.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $314.12 / $489.03 / $1,098.56	Facility		$314.12	$489.03	$1,098.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.08 / $318.20 / $748.73	Professional		$120.08	$318.20	$748.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $172.67 / $433.61 / $628.90	Professional		$172.67	$433.61	$628.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $281.35 / $906.21 / $1,367.03	Facility		$281.35	$906.21	$1,367.03
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $208.53 / $281.35 / $1,367.03	Professional		$208.53	$281.35	$1,367.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $489.88 / $496.50 / $662.00	Professional		$489.88	$496.50	$662.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $322.08 / $550.67 / $1,098.56	Facility		$322.08	$550.67	$1,098.56
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $140.50 / $353.59 / $748.73	Professional		$140.50	$353.59	$748.73
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $287.12 / $331.00 / $331.00	Facility		$287.12	$331.00	$331.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $287.12 / $331.00 / $331.00	Professional		$287.12	$331.00	$331.00
United Facility/Professional Facility Modifier Low / Median / High Price $297.89 / $397.20 / $397.20	Facility		$297.89	$397.20	$397.20
United Facility/Professional Professional Modifier Low / Median / High Price $139.02 / $198.60 / $441.95	Professional		$139.02	$198.60	$441.95