Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.55 / $333.55 / $1,290.83	Facility		$333.55	$333.55	$1,290.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.91 / $353.17 / $495.76	Professional		$324.91	$353.17	$495.76
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 $568.74 / $746.91 / $746.91	Professional		$568.74	$746.91	$746.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.41 / $530.41 / $887.45	Facility		$530.41	$530.41	$887.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.20 / $387.20 / $950.63	Professional		$387.20	$387.20	$950.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $816.45 / $887.45 / $1,686.16	Professional		$816.45	$887.45	$1,686.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $333.55 / $333.55 / $1,290.83	Facility		$333.55	$333.55	$1,290.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $326.12 / $366.25 / $607.05	Professional		$326.12	$366.25	$607.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $601.00 / $1,210.30 / $1,748.40	Professional		$601.00	$1,210.30	$1,748.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $530.41 / $530.41 / $887.45	Facility		$530.41	$530.41	$887.45
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $387.20 / $387.20 / $950.63	Professional		$387.20	$387.20	$950.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $356.90 / $356.90 / $710.92	Facility		$356.90	$356.90	$710.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $356.90 / $710.92 / $844.69	Professional		$356.90	$710.92	$844.69
United Facility/Professional Professional Modifier Low / Median / High Price $348.74 / $442.73 / $673.55	Professional		$348.74	$442.73	$673.55