Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.16 / $311.16 / $1,204.19	Facility		$311.16	$311.16	$1,204.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.45 / $348.91 / $519.77	Professional		$309.45	$348.91	$519.77
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 $575.71 / $756.07 / $756.07	Professional		$575.71	$756.07	$756.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $626.01 / $626.01 / $891.57	Facility		$626.01	$626.01	$891.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.99 / $456.99 / $780.69	Professional		$456.99	$456.99	$780.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $820.24 / $891.57 / $1,693.98	Professional		$820.24	$891.57	$1,693.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $311.16 / $311.16 / $1,204.19	Facility		$311.16	$311.16	$1,204.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $309.45 / $357.50 / $562.10	Professional		$309.45	$357.50	$562.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $603.90 / $1,216.00 / $1,756.60	Professional		$603.90	$1,216.00	$1,756.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $626.01 / $626.01 / $891.57	Facility		$626.01	$626.01	$891.57
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $456.99 / $456.99 / $1,122.00	Professional		$456.99	$456.99	$1,122.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $361.29 / $361.29 / $719.64	Facility		$361.29	$361.29	$719.64
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $361.29 / $719.64 / $848.61	Professional		$361.29	$719.64	$848.61
United Facility/Professional Professional Modifier Low / Median / High Price $312.20 / $381.34 / $681.84	Professional		$312.20	$381.34	$681.84