Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.18 / $1,442.63 / $2,128.23	Facility		$412.18	$1,442.63	$2,128.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.45 / $412.18 / $3,272.03	Professional		$307.45	$412.18	$3,272.03
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,733.06 / $2,309.40 / $8,459.92	Facility		$1,733.06	$2,309.40	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $396.92 / $396.92 / $396.92	Professional		$396.92	$396.92	$396.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.92 / $751.69 / $1,688.58	Facility		$482.92	$751.69	$1,688.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.30 / $472.00 / $891.79	Professional		$234.30	$472.00	$891.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $302.77 / $686.97 / $966.85	Professional		$302.77	$686.97	$966.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $432.54 / $1,442.63 / $2,101.63	Facility		$432.54	$1,442.63	$2,101.63
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $343.75 / $474.28 / $2,101.63	Professional		$343.75	$474.28	$2,101.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $544.79 / $753.13 / $1,017.74	Professional		$544.79	$753.13	$1,017.74
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $495.25 / $846.61 / $1,688.58	Facility		$495.25	$846.61	$1,688.58
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $235.61 / $474.07 / $891.79	Professional		$235.61	$474.07	$891.79
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $508.87 / $508.87 / $551.95	Facility		$508.87	$508.87	$551.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $508.87 / $508.87 / $551.95	Professional		$508.87	$508.87	$551.95
United Facility/Professional Facility Modifier Low / Median / High Price $213.73 / $213.73 / $213.73	Facility		$213.73	$213.73	$213.73
United Facility/Professional Professional Modifier Low / Median / High Price $213.73 / $305.32 / $679.44	Professional		$213.73	$305.32	$679.44