Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.07 / $289.07 / $1,118.70	Facility		$289.07	$289.07	$1,118.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.16 / $306.08 / $387.34	Professional		$234.16	$306.08	$387.34
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 $492.90 / $647.30 / $647.30	Professional		$492.90	$647.30	$647.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.82 / $499.82 / $598.34	Facility		$499.82	$499.82	$598.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.87 / $364.87 / $523.92	Professional		$364.87	$364.87	$523.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $550.47 / $598.34 / $1,136.84	Professional		$550.47	$598.34	$1,136.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $289.07 / $289.07 / $1,118.70	Facility		$289.07	$289.07	$1,118.70
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $234.16 / $306.08 / $526.11	Professional		$234.16	$306.08	$526.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $405.30 / $816.10 / $1,178.80	Professional		$405.30	$816.10	$1,178.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $499.82 / $499.82 / $598.34	Facility		$499.82	$499.82	$598.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $364.87 / $364.87 / $895.88	Professional		$364.87	$364.87	$895.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $309.33 / $309.33 / $616.12	Facility		$309.33	$309.33	$616.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $309.33 / $616.12 / $628.44	Professional		$309.33	$616.12	$628.44
United Facility/Professional Facility Modifier Low / Median / High Price $222.75 / $382.03 / $435.59	Facility		$222.75	$382.03	$435.59
United Facility/Professional Professional Modifier Low / Median / High Price $291.88 / $364.85 / $583.76	Professional		$291.88	$364.85	$583.76