Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.85 / $260.85 / $1,009.49	Facility		$260.85	$260.85	$1,009.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.74 / $276.19 / $392.88	Professional		$255.74	$276.19	$392.88
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 $444.77 / $584.11 / $584.11	Professional		$444.77	$584.11	$584.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $503.81 / $503.81 / $702.75	Facility		$503.81	$503.81	$702.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.78 / $367.78 / $903.00	Professional		$367.78	$367.78	$903.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $646.53 / $702.75 / $1,335.23	Professional		$646.53	$702.75	$1,335.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $260.85 / $260.85 / $1,009.49	Facility		$260.85	$260.85	$1,009.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $255.74 / $286.42 / $474.75	Professional		$255.74	$286.42	$474.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $476.00 / $958.40 / $1,384.50	Professional		$476.00	$958.40	$1,384.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $503.81 / $503.81 / $702.75	Facility		$503.81	$503.81	$702.75
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $367.78 / $367.78 / $903.00	Professional		$367.78	$367.78	$903.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $279.12 / $279.12 / $555.96	Facility		$279.12	$279.12	$555.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $279.12 / $555.96 / $668.89	Professional		$279.12	$555.96	$668.89
United Facility/Professional Facility Modifier Low / Median / High Price $388.77 / $388.77 / $388.77	Facility		$388.77	$388.77	$388.77
United Facility/Professional Professional Modifier Low / Median / High Price $274.30 / $350.47 / $526.76	Professional		$274.30	$350.47	$526.76