Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.48 / $843.24 / $1,288.14	Facility		$249.48	$843.24	$1,288.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.28 / $249.48 / $1,980.44	Professional		$97.28	$249.48	$1,980.44
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 $240.24 / $240.24 / $240.24	Professional		$240.24	$240.24	$240.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.29 / $455.17 / $1,022.49	Facility		$292.29	$455.17	$1,022.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.84 / $284.52 / $696.89	Professional		$74.84	$284.52	$696.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $183.26 / $415.80 / $585.20	Professional		$183.26	$415.80	$585.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $261.80 / $843.24 / $1,272.04	Facility		$261.80	$843.24	$1,272.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $194.04 / $261.80 / $1,272.04	Professional		$194.04	$261.80	$1,272.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $455.84 / $462.00 / $616.00	Professional		$455.84	$462.00	$616.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $299.73 / $512.41 / $1,022.49	Facility		$299.73	$512.41	$1,022.49
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $87.45 / $291.52 / $696.89	Professional		$87.45	$291.52	$696.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $178.71 / $308.00 / $308.00	Facility		$178.71	$308.00	$308.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $178.71 / $308.00 / $308.00	Professional		$178.71	$308.00	$308.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.36 / $184.80 / $385.00	Professional		$129.36	$184.80	$385.00