Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.91 / $273.91 / $1,060.03	Facility		$273.91	$273.91	$1,060.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.45 / $303.05 / $368.12	Professional		$260.45	$303.05	$368.12
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 $506.78 / $665.55 / $665.55	Professional		$506.78	$665.55	$665.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.63 / $380.63 / $665.55	Facility		$380.63	$380.63	$665.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.86 / $277.86 / $582.78	Professional		$277.86	$277.86	$582.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $612.30 / $665.55 / $1,264.55	Professional		$612.30	$665.55	$1,264.55
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $273.91 / $273.91 / $1,060.03	Facility		$273.91	$273.91	$1,060.03
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $260.45 / $314.70 / $432.71	Professional		$260.45	$314.70	$432.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $825.20 / $949.00 / $1,311.30	Professional		$825.20	$949.00	$1,311.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $380.63 / $380.63 / $665.55	Facility		$380.63	$380.63	$665.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $277.86 / $277.86 / $790.50	Professional		$277.86	$277.86	$790.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $475.83 / $633.48 / $633.48	Facility		$475.83	$633.48	$633.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $475.83 / $633.48 / $649.02	Professional		$475.83	$633.48	$649.02
United Facility/Professional Professional Modifier Low / Median / High Price $251.77 / $335.35 / $600.19	Professional		$251.77	$335.35	$600.19