Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.69 / $371.69 / $1,438.44	Facility		$371.69	$371.69	$1,438.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.44 / $411.24 / $499.56	Professional		$353.44	$411.24	$499.56
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 $687.71 / $903.16 / $903.16	Professional		$687.71	$903.16	$903.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $576.88 / $576.88 / $903.16	Facility		$576.88	$576.88	$903.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.12 / $421.12 / $790.84	Professional		$421.12	$421.12	$790.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $830.91 / $903.16 / $1,716.00	Professional		$830.91	$903.16	$1,716.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $371.69 / $371.69 / $1,438.44	Facility		$371.69	$371.69	$1,438.44
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $353.44 / $427.05 / $581.32	Professional		$353.44	$427.05	$581.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $339.00 / $445.50 / $1,779.40	Professional		$339.00	$445.50	$1,779.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $576.88 / $576.88 / $903.16	Facility		$576.88	$576.88	$903.16
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $421.12 / $421.12 / $1,072.88	Professional		$421.12	$421.12	$1,072.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $645.73 / $859.64 / $859.64	Facility		$645.73	$859.64	$859.64
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $645.73 / $859.64 / $880.74	Professional		$645.73	$859.64	$880.74
United Facility/Professional Facility Modifier Low / Median / High Price $936.84 / $1,102.16 / $1,322.59	Facility		$936.84	$1,102.16	$1,322.59
United Facility/Professional Professional Modifier Low / Median / High Price $345.65 / $455.08 / $750.96	Professional		$345.65	$455.08	$750.96