Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.92 / $259.92 / $1,005.89	Facility		$259.92	$259.92	$1,005.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.41 / $287.57 / $349.99	Professional		$214.41	$287.57	$349.99
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 $480.90 / $631.55 / $631.55	Professional		$480.90	$631.55	$631.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.03 / $331.03 / $547.87	Facility		$331.03	$331.03	$547.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.65 / $241.65 / $479.73	Professional		$241.65	$241.65	$479.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $504.04 / $547.87 / $1,040.95	Professional		$504.04	$547.87	$1,040.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $259.92 / $259.92 / $1,005.89	Facility		$259.92	$259.92	$1,005.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $214.40 / $288.94 / $349.99	Professional		$214.40	$288.94	$349.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $371.10 / $713.30 / $1,079.40	Professional		$371.10	$713.30	$1,079.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $331.03 / $331.03 / $547.87	Facility		$331.03	$331.03	$547.87
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $241.65 / $241.65 / $630.38	Professional		$241.65	$241.65	$630.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $451.55 / $601.13 / $601.13	Facility		$451.55	$601.13	$601.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $451.55 / $601.13 / $601.13	Professional		$451.55	$601.13	$601.13
United Facility/Professional Professional Modifier Low / Median / High Price $221.53 / $315.08 / $547.87	Professional		$221.53	$315.08	$547.87