Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $431.62 / $431.62 / $1,670.37	Facility		$431.62	$431.62	$1,670.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.43 / $477.54 / $580.11	Professional		$410.43	$477.54	$580.11
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 $798.59 / $1,048.77 / $1,048.77	Professional		$798.59	$1,048.77	$1,048.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.41 / $695.41 / $1,048.77	Facility		$695.41	$695.41	$1,048.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.65 / $507.65 / $918.34	Professional		$507.65	$507.65	$918.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $964.87 / $1,048.77 / $1,992.66	Professional		$964.87	$1,048.77	$1,992.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $431.62 / $431.62 / $1,670.37	Facility		$431.62	$431.62	$1,670.37
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $410.43 / $495.90 / $681.89	Professional		$410.43	$495.90	$681.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,300.40 / $1,495.40 / $2,066.30	Professional		$1,300.40	$1,495.40	$2,066.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $695.41 / $695.41 / $1,048.77	Facility		$695.41	$695.41	$1,048.77
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $507.65 / $507.65 / $1,245.75	Professional		$507.65	$507.65	$1,245.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $749.83 / $998.24 / $998.24	Facility		$749.83	$998.24	$998.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $749.83 / $998.24 / $1,022.79	Professional		$749.83	$998.24	$1,022.79
United Facility/Professional Professional Modifier Low / Median / High Price $396.36 / $528.46 / $872.04	Professional		$396.36	$528.46	$872.04