Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.58 / $238.32 / $1,359.00	Facility		$204.58	$238.32	$1,359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.93 / $222.43 / $258.16	Professional		$200.93	$222.43	$258.16
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 $65.76 / $77.36 / $77.36	Professional		$65.76	$77.36	$77.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.48 / $264.48 / $264.48	Facility		$264.48	$264.48	$264.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.54 / $277.25 / $428.34	Professional		$218.54	$277.25	$428.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $544.01 / $544.01 / $544.01	Facility		$544.01	$544.01	$544.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $261.35 / $354.28 / $502.37	Professional		$261.35	$354.28	$502.37
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $238.32 / $238.32 / $1,812.00	Facility		$238.32	$238.32	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $183.04 / $222.43 / $258.16	Professional		$183.04	$222.43	$258.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $312.50 / $312.50 / $312.50	Professional		$312.50	$312.50	$312.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $264.48 / $264.48 / $264.48	Facility		$264.48	$264.48	$264.48
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $209.91 / $271.35 / $412.15	Professional		$209.91	$271.35	$412.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $236.91 / $236.91 / $236.91	Professional		$236.91	$236.91	$236.91
United Facility/Professional Professional Modifier Low / Median / High Price $187.54 / $240.14 / $420.26	Professional		$187.54	$240.14	$420.26