Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.58 / $316.58 / $1,225.16	Facility		$316.58	$316.58	$1,225.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.43 / $335.21 / $452.12	Professional		$277.43	$335.21	$452.12
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 $539.79 / $708.91 / $708.91	Professional		$539.79	$708.91	$708.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $458.59 / $458.59 / $708.91	Facility		$458.59	$458.59	$708.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.77 / $334.77 / $620.75	Professional		$334.77	$334.77	$620.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $652.20 / $708.91 / $1,346.93	Professional		$652.20	$708.91	$1,346.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $316.58 / $316.58 / $1,225.16	Facility		$316.58	$316.58	$1,225.16
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $277.43 / $346.15 / $576.17	Professional		$277.43	$346.15	$576.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $480.20 / $966.90 / $1,396.70	Professional		$480.20	$966.90	$1,396.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $458.59 / $458.59 / $708.91	Facility		$458.59	$458.59	$708.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $334.77 / $334.77 / $822.00	Professional		$334.77	$334.77	$822.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $338.76 / $338.76 / $674.75	Facility		$338.76	$338.76	$674.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $338.76 / $674.75 / $674.75	Professional		$338.76	$674.75	$674.75
United Facility/Professional Professional Modifier Low / Median / High Price $331.58 / $399.56 / $656.08	Professional		$331.58	$399.56	$656.08