Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.24 / $315.24 / $1,219.98	Facility		$315.24	$315.24	$1,219.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.24 / $368.90 / $510.09	Professional		$315.24	$368.90	$510.09
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 $583.26 / $765.99 / $765.99	Professional		$583.26	$765.99	$765.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.80 / $550.80 / $982.78	Facility		$550.80	$550.80	$982.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.09 / $402.09 / $860.56	Professional		$402.09	$402.09	$860.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $904.16 / $982.78 / $1,867.28	Professional		$904.16	$982.78	$1,867.28
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $315.24 / $315.24 / $1,219.98	Facility		$315.24	$315.24	$1,219.98
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $315.24 / $368.90 / $619.60	Professional		$315.24	$368.90	$619.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $310.10 / $407.40 / $1,936.30	Professional		$310.10	$407.40	$1,936.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $550.80 / $550.80 / $982.78	Facility		$550.80	$550.80	$982.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $402.09 / $402.09 / $1,101.00	Professional		$402.09	$402.09	$1,101.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $547.65 / $729.08 / $729.08	Facility		$547.65	$729.08	$729.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $547.65 / $729.08 / $935.43	Professional		$547.65	$729.08	$935.43
United Facility/Professional Professional Modifier Low / Median / High Price $345.04 / $382.77 / $708.84	Professional		$345.04	$382.77	$708.84