Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.19 / $269.19 / $1,041.77	Facility		$269.19	$269.19	$1,041.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.70 / $309.29 / $394.45	Professional		$267.70	$309.29	$394.45
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 $498.06 / $654.09 / $654.09	Professional		$498.06	$654.09	$654.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.71 / $408.71 / $692.53	Facility		$408.71	$408.71	$692.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.36 / $298.36 / $606.40	Professional		$298.36	$298.36	$606.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $637.13 / $692.53 / $1,315.81	Professional		$637.13	$692.53	$1,315.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $269.19 / $269.19 / $1,041.77	Facility		$269.19	$269.19	$1,041.77
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $267.70 / $309.29 / $439.42	Professional		$267.70	$309.29	$439.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $469.00 / $944.50 / $1,364.40	Professional		$469.00	$944.50	$1,364.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $408.71 / $408.71 / $692.53	Facility		$408.71	$408.71	$692.53
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $298.36 / $298.36 / $851.25	Professional		$298.36	$298.36	$851.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $467.65 / $622.58 / $622.58	Facility		$467.65	$622.58	$622.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $467.65 / $622.58 / $699.01	Professional		$467.65	$622.58	$699.01
United Facility/Professional Professional Modifier Low / Median / High Price $276.57 / $327.69 / $571.50	Professional		$276.57	$327.69	$571.50