Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.35 / $316.35 / $1,224.27	Facility		$316.35	$316.35	$1,224.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.35 / $370.20 / $450.57	Professional		$316.35	$370.20	$450.57
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 $585.32 / $768.69 / $768.69	Professional		$585.32	$768.69	$768.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.57 / $450.57 / $934.51	Facility		$450.57	$450.57	$934.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.92 / $328.92 / $841.86	Professional		$328.92	$328.92	$841.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $884.52 / $961.43 / $1,826.72	Professional		$884.52	$961.43	$1,826.72
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $316.35 / $316.35 / $1,224.27	Facility		$316.35	$316.35	$1,224.27
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $316.35 / $370.20 / $606.14	Professional		$316.35	$370.20	$606.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $651.20 / $1,311.30 / $1,894.20	Professional		$651.20	$1,311.30	$1,894.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $450.57 / $450.57 / $934.51	Facility		$450.57	$450.57	$934.51
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $328.92 / $328.92 / $868.50	Professional		$328.92	$328.92	$868.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $549.57 / $731.65 / $731.65	Facility		$549.57	$731.65	$731.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $549.57 / $731.65 / $915.10	Professional		$549.57	$731.65	$915.10
United Facility/Professional Professional Modifier Low / Median / High Price $301.51 / $385.10 / $693.20	Professional		$301.51	$385.10	$693.20