Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.68 / $293.68 / $1,136.54	Facility		$293.68	$293.68	$1,136.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.64 / $310.95 / $426.16	Professional		$270.64	$310.95	$426.16
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 $500.74 / $657.62 / $657.62	Professional		$500.74	$657.62	$657.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $410.92 / $410.92 / $696.36	Facility		$410.92	$410.92	$696.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.97 / $299.97 / $609.76	Professional		$299.97	$299.97	$609.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $640.65 / $696.36 / $1,323.08	Professional		$640.65	$696.36	$1,323.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $293.68 / $293.68 / $1,136.54	Facility		$293.68	$293.68	$1,136.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $272.51 / $322.47 / $534.50	Professional		$272.51	$322.47	$534.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $471.60 / $949.70 / $1,372.00	Professional		$471.60	$949.70	$1,372.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $410.92 / $410.92 / $696.36	Facility		$410.92	$410.92	$696.36
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $299.97 / $299.97 / $864.00	Professional		$299.97	$299.97	$864.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $314.24 / $314.24 / $625.92	Facility		$314.24	$314.24	$625.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $314.24 / $625.92 / $662.81	Professional		$314.24	$625.92	$662.81
United Facility/Professional Professional Modifier Low / Median / High Price $307.58 / $394.57 / $608.54	Professional		$307.58	$394.57	$608.54