Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.63 / $282.63 / $1,093.78	Facility		$282.63	$282.63	$1,093.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.25 / $282.63 / $316.16	Professional		$196.25	$282.63	$316.16
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 $481.91 / $632.88 / $632.88	Professional		$481.91	$632.88	$632.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $344.22 / $344.22 / $501.48	Facility		$344.22	$344.22	$501.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.28 / $251.28 / $439.11	Professional		$251.28	$251.28	$439.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $501.48 / $952.81	Professional		$461.36	$501.48	$952.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $282.63 / $282.63 / $1,093.78	Facility		$282.63	$282.63	$1,093.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $196.25 / $299.26 / $514.39	Professional		$196.25	$299.26	$514.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $339.70 / $684.00 / $988.00	Professional		$339.70	$684.00	$988.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $344.22 / $344.22 / $501.48	Facility		$344.22	$344.22	$501.48
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $251.28 / $251.28 / $616.88	Professional		$251.28	$251.28	$616.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $302.44 / $302.44 / $602.39	Facility		$302.44	$302.44	$602.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $302.44 / $506.47 / $602.39	Professional		$302.44	$506.47	$602.39
United Facility/Professional Professional Modifier Low / Median / High Price $250.18 / $349.48 / $532.11	Professional		$250.18	$349.48	$532.11