Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.95 / $311.95 / $1,207.25	Facility		$311.95	$311.95	$1,207.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.36 / $330.30 / $440.40	Professional		$273.36	$330.30	$440.40
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 $531.90 / $698.54 / $698.54	Professional		$531.90	$698.54	$698.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.76 / $555.76 / $698.54	Facility		$555.76	$555.76	$698.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.70 / $405.70 / $611.66	Professional		$405.70	$405.70	$611.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $642.66 / $698.54 / $1,327.23	Professional		$642.66	$698.54	$1,327.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $311.95 / $311.95 / $1,207.25	Facility		$311.95	$311.95	$1,207.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $273.36 / $342.53 / $567.75	Professional		$273.36	$342.53	$567.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $473.10 / $952.70 / $1,376.20	Professional		$473.10	$952.70	$1,376.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $555.76 / $555.76 / $698.54	Facility		$555.76	$555.76	$698.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $405.70 / $405.70 / $946.50	Professional		$405.70	$405.70	$946.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $333.80 / $333.80 / $664.88	Facility		$333.80	$333.80	$664.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $333.80 / $664.88 / $678.18	Professional		$333.80	$664.88	$678.18
United Facility/Professional Professional Modifier Low / Median / High Price $328.03 / $378.69 / $610.33	Professional		$328.03	$378.69	$610.33