Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.00 / $821.34 / $1,254.68	Facility		$243.00	$821.34	$1,254.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.49 / $243.00 / $1,929.00	Professional		$57.49	$243.00	$1,929.00
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 $210.34 / $234.00 / $234.00	Professional		$210.34	$234.00	$234.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $284.70 / $443.08 / $995.33	Facility		$284.70	$443.08	$995.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.58 / $277.01 / $678.37	Professional		$40.58	$277.01	$678.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $178.50 / $405.00 / $570.00	Professional		$178.50	$405.00	$570.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $821.34 / $1,239.00	Facility		$255.00	$821.34	$1,239.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $189.00 / $255.00 / $1,239.00	Professional		$189.00	$255.00	$1,239.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $444.00 / $450.00 / $600.00	Professional		$444.00	$450.00	$600.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $291.86 / $499.10 / $995.33	Facility		$291.86	$499.10	$995.33
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $47.42 / $283.99 / $678.37	Professional		$47.42	$283.99	$678.37
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $97.09 / $300.00 / $300.00	Facility		$97.09	$300.00	$300.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $97.09 / $300.00 / $300.00	Professional		$97.09	$300.00	$300.00
United Facility/Professional Facility Modifier Low / Median / High Price $270.00 / $360.00 / $360.00	Facility		$270.00	$360.00	$360.00
United Facility/Professional Professional Modifier Low / Median / High Price $83.22 / $180.00 / $375.00	Professional		$83.22	$180.00	$375.00