Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.60 / $295.60 / $1,143.97	Facility		$295.60	$295.60	$1,143.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.97 / $339.62 / $433.12	Professional		$293.97	$339.62	$433.12
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 $546.91 / $718.26 / $718.26	Professional		$546.91	$718.26	$718.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.80 / $512.80 / $837.44	Facility		$512.80	$512.80	$837.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.35 / $374.35 / $733.29	Professional		$374.35	$374.35	$733.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $770.44 / $837.44 / $1,591.14	Professional		$770.44	$837.44	$1,591.14
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $295.60 / $295.60 / $1,143.97	Facility		$295.60	$295.60	$1,143.97
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $293.97 / $339.62 / $527.97	Professional		$293.97	$339.62	$527.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,038.30 / $1,194.09 / $1,649.90	Professional		$1,038.30	$1,194.09	$1,649.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $512.80 / $512.80 / $837.44	Facility		$512.80	$512.80	$837.44
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $374.35 / $374.35 / $919.13	Professional		$374.35	$374.35	$919.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $513.53 / $683.65 / $683.65	Facility		$513.53	$683.65	$683.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $513.53 / $683.65 / $797.09	Professional		$513.53	$683.65	$797.09
United Facility/Professional Professional Modifier Low / Median / High Price $296.88 / $361.92 / $627.55	Professional		$296.88	$361.92	$627.55