Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.56 / $924.63 / $1,412.49	Facility		$273.56	$924.63	$1,412.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.15 / $273.56 / $2,171.60	Professional		$78.15	$273.56	$2,171.60
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 $263.43 / $263.43 / $263.43	Professional		$263.43	$263.43	$263.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.50 / $498.71 / $1,120.29	Facility		$320.50	$498.71	$1,120.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.04 / $312.07 / $763.54	Professional		$60.04	$312.07	$763.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $172.67 / $442.43 / $641.69	Professional		$172.67	$442.43	$641.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $287.07 / $924.63 / $1,394.82	Facility		$287.07	$924.63	$1,394.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $212.77 / $287.07 / $1,394.82	Professional		$212.77	$287.07	$1,394.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $499.84 / $506.60 / $675.46	Professional		$499.84	$506.60	$675.46
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $328.70 / $561.86 / $1,120.29	Facility		$328.70	$561.86	$1,120.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $70.15 / $319.69 / $763.54	Professional		$70.15	$319.69	$763.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $143.56 / $337.73 / $337.73	Facility		$143.56	$337.73	$337.73
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $143.56 / $337.73 / $337.73	Professional		$143.56	$337.73	$337.73
United Facility/Professional Professional Modifier Low / Median / High Price $116.58 / $202.64 / $506.60	Professional		$116.58	$202.64	$506.60