Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.52 / $325.52 / $1,259.80	Facility		$325.52	$325.52	$1,259.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.54 / $374.01 / $500.90	Professional		$309.54	$374.01	$500.90
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 $602.29 / $790.98 / $790.98	Professional		$602.29	$790.98	$790.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.25 / $494.25 / $790.98	Facility		$494.25	$494.25	$790.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.80 / $360.80 / $692.61	Professional		$360.80	$360.80	$692.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $727.70 / $790.98 / $1,502.86	Professional		$727.70	$790.98	$1,502.86
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $325.52 / $325.52 / $1,259.80	Facility		$325.52	$325.52	$1,259.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $309.54 / $374.01 / $593.84	Professional		$309.54	$374.01	$593.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $535.70 / $1,078.80 / $1,558.40	Professional		$535.70	$1,078.80	$1,558.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $494.25 / $494.25 / $790.98	Facility		$494.25	$494.25	$790.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $360.80 / $360.80 / $916.88	Professional		$360.80	$360.80	$916.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $377.98 / $377.98 / $752.87	Facility		$377.98	$377.98	$752.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $377.98 / $752.87 / $752.87	Professional		$377.98	$752.87	$752.87
United Facility/Professional Professional Modifier Low / Median / High Price $328.85 / $427.50 / $713.32	Professional		$328.85	$427.50	$713.32