Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $372.57 / $372.57 / $1,441.85	Facility		$372.57	$372.57	$1,441.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.35 / $394.49 / $511.65	Professional		$343.35	$394.49	$511.65
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 $635.27 / $834.29 / $834.29	Professional		$635.27	$834.29	$834.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.20 / $572.20 / $985.21	Facility		$572.20	$572.20	$985.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $417.71 / $417.71 / $896.04	Professional		$417.71	$417.71	$896.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $941.44 / $1,023.30 / $1,944.27	Professional		$941.44	$1,023.30	$1,944.27
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $372.57 / $372.57 / $1,441.85	Facility		$372.57	$372.57	$1,441.85
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $365.27 / $400.46 / $678.08	Professional		$365.27	$400.46	$678.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $693.00 / $1,395.60 / $2,016.10	Professional		$693.00	$1,395.60	$2,016.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $572.20 / $572.20 / $985.21	Facility		$572.20	$572.20	$985.21
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $417.71 / $417.71 / $1,025.25	Professional		$417.71	$417.71	$1,025.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $398.66 / $398.66 / $794.09	Facility		$398.66	$398.66	$794.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $398.66 / $794.09 / $973.99	Professional		$398.66	$794.09	$973.99
United Facility/Professional Professional Modifier Low / Median / High Price $382.88 / $494.58 / $752.36	Professional		$382.88	$494.58	$752.36