Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.37 / $278.37 / $1,077.29	Facility		$278.37	$278.37	$1,077.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.70 / $307.98 / $374.13	Professional		$264.70	$307.98	$374.13
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 $515.04 / $676.39 / $676.39	Professional		$515.04	$676.39	$676.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.84 / $386.84 / $676.39	Facility		$386.84	$386.84	$676.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.39 / $282.39 / $592.27	Professional		$282.39	$282.39	$592.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $622.28 / $676.39 / $1,285.14	Professional		$622.28	$676.39	$1,285.14
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $278.37 / $278.37 / $1,077.29	Facility		$278.37	$278.37	$1,077.29
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $264.70 / $319.83 / $439.76	Professional		$264.70	$319.83	$439.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $843.90 / $1,001.06 / $1,332.60	Professional		$843.90	$1,001.06	$1,332.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $386.84 / $386.84 / $676.39	Facility		$386.84	$386.84	$676.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $282.39 / $282.39 / $803.25	Professional		$282.39	$282.39	$803.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $483.59 / $643.79 / $643.79	Facility		$483.59	$643.79	$643.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $483.59 / $643.79 / $659.61	Professional		$483.59	$643.79	$659.61
United Facility/Professional Professional Modifier Low / Median / High Price $258.86 / $340.82 / $609.97	Professional		$258.86	$340.82	$609.97