Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.20 / $1,474.20 / $2,174.78	Facility		$421.20	$1,474.20	$2,174.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.80 / $421.20 / $3,343.60	Professional		$384.80	$421.20	$3,343.60
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,796.03 / $2,393.30 / $8,459.92	Facility		$1,796.03	$2,393.30	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $405.60 / $405.60 / $405.60	Professional		$405.60	$405.60	$405.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $348.14 / $692.46 / $1,725.53	Facility		$348.14	$692.46	$1,725.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.01 / $555.54 / $1,176.04	Professional		$245.01	$555.54	$1,176.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $309.39 / $702.00 / $988.00	Professional		$309.39	$702.00	$988.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $442.00 / $1,474.20 / $2,147.60	Facility		$442.00	$1,474.20	$2,147.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $384.80 / $598.00 / $2,147.60	Professional		$384.80	$598.00	$2,147.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $769.60 / $780.00 / $1,040.00	Professional		$769.60	$780.00	$1,040.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $348.14 / $692.46 / $1,725.53	Facility		$348.14	$692.46	$1,725.53
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $337.84 / $556.62 / $1,176.04	Professional		$337.84	$556.62	$1,176.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $520.00 / $572.00	Facility		$520.00	$520.00	$572.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $520.00 / $520.00 / $572.00	Professional		$520.00	$520.00	$572.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.40 / $312.00 / $780.00	Professional		$218.40	$312.00	$780.00