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 / $392.33	Professional		$264.70	$307.98	$392.33
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 $437.50 / $437.50 / $676.39	Facility		$437.50	$437.50	$676.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.38 / $319.38 / $592.27	Professional		$319.38	$319.38	$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 / $325.75 / $453.43	Professional		$264.70	$325.75	$453.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $353.00 / $1,021.08 / $1,332.60	Professional		$353.00	$1,021.08	$1,332.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $437.50 / $437.50 / $676.39	Facility		$437.50	$437.50	$676.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $319.38 / $319.38 / $803.25	Professional		$319.38	$319.38	$803.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $492.33 / $643.79 / $643.79	Facility		$492.33	$643.79	$643.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $492.33 / $643.79 / $659.61	Professional		$492.33	$643.79	$659.61
United Facility/Professional Professional Modifier Low / Median / High Price $266.49 / $344.10 / $590.98	Professional		$266.49	$344.10	$590.98