Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.89 / $396.89 / $1,535.96	Facility		$396.89	$396.89	$1,535.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.40 / $464.45 / $583.13	Professional		$377.40	$464.45	$583.13
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 $734.34 / $964.39 / $964.39	Professional		$734.34	$964.39	$964.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.53 / $551.53 / $964.39	Facility		$551.53	$551.53	$964.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.62 / $402.62 / $844.45	Professional		$402.62	$402.62	$844.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $887.24 / $964.39 / $1,832.34	Professional		$887.24	$964.39	$1,832.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $396.89 / $396.89 / $1,535.96	Facility		$396.89	$396.89	$1,535.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $377.40 / $464.45 / $620.72	Professional		$377.40	$464.45	$620.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $345.10 / $453.50 / $1,900.00	Professional		$345.10	$453.50	$1,900.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $551.53 / $551.53 / $964.39	Facility		$551.53	$551.53	$964.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $402.62 / $402.62 / $1,145.25	Professional		$402.62	$402.62	$1,145.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $689.50 / $917.92 / $917.92	Facility		$689.50	$917.92	$917.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $689.50 / $917.92 / $940.42	Professional		$689.50	$917.92	$940.42
United Facility/Professional Professional Modifier Low / Median / High Price $369.07 / $486.41 / $869.69	Professional		$369.07	$486.41	$869.69