Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.14 / $317.02 / $1,359.00	Facility		$272.14	$317.02	$1,359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $273.97 / $322.07	Professional		$112.50	$273.97	$322.07
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 $292.49 / $344.11 / $564.15	Professional		$292.49	$344.11	$564.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.47 / $375.93 / $510.45	Facility		$170.47	$375.93	$510.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.83 / $370.41 / $570.24	Professional		$289.83	$370.41	$570.24
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $317.02 / $317.02 / $1,812.00	Facility		$317.02	$317.02	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $283.52 / $326.39	Professional		$112.50	$283.52	$326.39
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $201.60 / $201.60 / $201.60	Facility		$201.60	$201.60	$201.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.61 / $201.60 / $463.20	Professional		$107.61	$201.60	$463.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $170.47 / $353.38 / $510.45	Facility		$170.47	$353.38	$510.45
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $285.37 / $362.78 / $545.91	Professional		$285.37	$362.78	$545.91
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $272.60 / $324.24 / $324.24	Facility		$272.60	$324.24	$324.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $272.60 / $272.60 / $330.72	Professional		$272.60	$272.60	$330.72
United Facility/Professional Professional Modifier Low / Median / High Price $250.26 / $320.39 / $539.94	Professional		$250.26	$320.39	$539.94