Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.09 / $339.09 / $2,940.82	Facility		$339.09	$339.09	$2,940.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.12 / $359.04 / $412.62	Professional		$256.12	$359.04	$412.62
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 $578.17 / $759.31 / $759.31	Professional		$578.17	$759.31	$759.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $484.42 / $484.42 / $654.47	Facility		$484.42	$484.42	$654.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.63 / $353.63 / $573.08	Professional		$353.63	$353.63	$573.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $602.11 / $654.47 / $1,243.49	Professional		$602.11	$654.47	$1,243.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $339.09 / $1,312.28 / $2,940.82	Facility		$339.09	$1,312.28	$2,940.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $256.12 / $359.04 / $617.14	Professional		$256.12	$359.04	$617.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $811.50 / $933.20 / $1,289.40	Professional		$811.50	$933.20	$1,289.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $484.42 / $484.42 / $654.47	Facility		$484.42	$484.42	$654.47
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $353.63 / $353.63 / $868.13	Professional		$353.63	$353.63	$868.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $362.84 / $362.84 / $722.72	Facility		$362.84	$362.84	$722.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $362.84 / $712.76 / $722.72	Professional		$362.84	$712.76	$722.72
United Facility/Professional Professional Modifier Low / Median / High Price $332.24 / $427.97 / $654.47	Professional		$332.24	$427.97	$654.47