Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.68 / $489.00 / $1,233.79	Facility		$113.68	$489.00	$1,233.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.77 / $565.69 / $925.66	Professional		$107.77	$565.69	$925.66
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,020.88 / $5,000.00 / $77,850.02	Facility		$1,020.88	$5,000.00	$77,850.02
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $686.12 / $712.01 / $1,372.30	Professional		$686.12	$712.01	$1,372.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.13 / $682.12 / $1,428.60	Facility		$216.13	$682.12	$1,428.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.19 / $354.97 / $1,360.10	Professional		$137.19	$354.97	$1,360.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $297.30 / $297.30 / $297.30	Facility		$297.30	$297.30	$297.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $839.28 / $1,101.41 / $1,432.13	Professional		$839.28	$1,101.41	$1,432.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $153.47 / $637.00 / $1,233.79	Facility		$153.47	$637.00	$1,233.79
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $113.68 / $623.54 / $1,040.82	Professional		$113.68	$623.54	$1,040.82
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $394.20 / $394.20 / $394.20	Facility		$394.20	$394.20	$394.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $252.88 / $776.74 / $2,145.50	Professional		$252.88	$776.74	$2,145.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $216.13 / $519.76 / $1,428.60	Facility		$216.13	$519.76	$1,428.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $137.91 / $361.71 / $1,367.62	Professional		$137.91	$361.71	$1,367.62
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $129.26 / $436.70 / $1,132.94	Facility		$129.26	$436.70	$1,132.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $128.80 / $703.64 / $783.27	Professional		$128.80	$703.64	$783.27
United Facility/Professional Professional Modifier Low / Median / High Price $486.41 / $858.73 / $1,366.35	Professional		$486.41	$858.73	$1,366.35