Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.37 / $343.37 / $1,328.84	Facility		$343.37	$343.37	$1,328.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.98 / $394.51 / $486.50	Professional		$301.98	$394.51	$486.50
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 $635.29 / $834.33 / $834.33	Professional		$635.29	$834.33	$834.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.17 / $499.17 / $771.65	Facility		$499.17	$499.17	$771.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.39 / $364.39 / $675.69	Professional		$364.39	$364.39	$675.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $709.92 / $771.65 / $1,466.14	Professional		$709.92	$771.65	$1,466.14
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $343.37 / $343.37 / $1,328.84	Facility		$343.37	$343.37	$1,328.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $301.98 / $394.51 / $599.71	Professional		$301.98	$394.51	$599.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $956.80 / $1,100.30 / $1,520.30	Professional		$956.80	$1,100.30	$1,520.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $499.17 / $499.17 / $771.65	Facility		$499.17	$499.17	$771.65
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $364.39 / $364.39 / $894.75	Professional		$364.39	$364.39	$894.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $596.50 / $794.13 / $794.13	Facility		$596.50	$794.13	$794.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $596.50 / $794.13 / $794.13	Professional		$596.50	$794.13	$794.13
United Facility/Professional Professional Modifier Low / Median / High Price $322.66 / $416.24 / $714.08	Professional		$322.66	$416.24	$714.08