Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.07 / $297.07 / $1,149.66	Facility		$297.07	$297.07	$1,149.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.43 / $334.16 / $431.72	Professional		$295.43	$334.16	$431.72
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 $549.64 / $721.83 / $721.83	Professional		$549.64	$721.83	$721.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.16 / $400.16 / $833.53	Facility		$400.16	$400.16	$833.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.12 / $292.12 / $747.68	Professional		$292.12	$292.12	$747.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $785.57 / $853.88 / $1,622.37	Professional		$785.57	$853.88	$1,622.37
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $297.07 / $297.07 / $1,149.66	Facility		$297.07	$297.07	$1,149.66
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $290.69 / $335.25 / $538.33	Professional		$290.69	$335.25	$538.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $578.29 / $1,164.59 / $1,682.30	Professional		$578.29	$1,164.59	$1,682.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $400.16 / $400.16 / $833.53	Facility		$400.16	$400.16	$833.53
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $292.12 / $292.12 / $931.88	Professional		$292.12	$292.12	$931.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $516.08 / $687.05 / $687.05	Facility		$516.08	$687.05	$687.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $516.08 / $687.05 / $812.73	Professional		$516.08	$687.05	$812.73
United Facility/Professional Facility Modifier Low / Median / High Price $725.80 / $853.88 / $1,024.66	Facility		$725.80	$853.88	$1,024.66
United Facility/Professional Professional Modifier Low / Median / High Price $267.79 / $360.11 / $749.01	Professional		$267.79	$360.11	$749.01