Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.91 / $359.91 / $1,392.85	Facility		$359.91	$359.91	$1,392.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.93 / $413.52 / $566.73	Professional		$357.93	$413.52	$566.73
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 $665.91 / $874.53 / $874.53	Professional		$665.91	$874.53	$874.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $565.73 / $565.73 / $990.11	Facility		$565.73	$565.73	$990.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.98 / $412.98 / $866.97	Professional		$412.98	$412.98	$866.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $910.90 / $990.11 / $1,881.21	Professional		$910.90	$990.11	$1,881.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $359.91 / $359.91 / $1,392.85	Facility		$359.91	$359.91	$1,392.85
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $357.93 / $413.52 / $671.36	Professional		$357.93	$413.52	$671.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $670.60 / $1,320.19 / $1,950.70	Professional		$670.60	$1,320.19	$1,950.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $565.73 / $565.73 / $990.11	Facility		$565.73	$565.73	$990.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $412.98 / $412.98 / $1,014.00	Professional		$412.98	$412.98	$1,014.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $832.39 / $832.39	Facility		$625.25	$832.39	$832.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $625.25 / $832.39 / $942.40	Professional		$625.25	$832.39	$942.40
United Facility/Professional Professional Modifier Low / Median / High Price $363.58 / $447.20 / $788.65	Professional		$363.58	$447.20	$788.65