Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.01 / $299.01 / $1,157.17	Facility		$299.01	$299.01	$1,157.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.33 / $343.55 / $520.32	Professional		$284.33	$343.55	$520.32
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 $553.24 / $726.55 / $726.55	Professional		$553.24	$726.55	$726.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $454.00 / $454.00 / $726.55	Facility		$454.00	$454.00	$726.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.42 / $331.42 / $636.20	Professional		$331.42	$331.42	$636.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $668.43 / $726.55 / $1,380.45	Professional		$668.43	$726.55	$1,380.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $299.01 / $299.01 / $1,157.17	Facility		$299.01	$299.01	$1,157.17
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $284.33 / $343.55 / $553.24	Professional		$284.33	$343.55	$553.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $492.10 / $1,036.00 / $1,431.50	Professional		$492.10	$1,036.00	$1,431.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $454.00 / $454.00 / $726.55	Facility		$454.00	$454.00	$726.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $331.42 / $331.42 / $1,123.13	Professional		$331.42	$331.42	$1,123.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $519.45 / $691.55 / $691.55	Facility		$519.45	$691.55	$691.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $519.45 / $691.55 / $922.06	Professional		$519.45	$691.55	$922.06
United Facility/Professional Professional Modifier Low / Median / High Price $303.80 / $366.10 / $634.80	Professional		$303.80	$366.10	$634.80