Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.44 / $274.44 / $1,062.08	Facility		$274.44	$274.44	$1,062.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.50 / $290.58 / $423.94	Professional		$240.50	$290.58	$423.94
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 $467.95 / $614.54 / $614.54	Professional		$467.95	$614.54	$614.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $452.18 / $452.18 / $614.54	Facility		$452.18	$452.18	$614.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.09 / $330.09 / $538.12	Professional		$330.09	$330.09	$538.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $565.39 / $614.54 / $1,167.65	Professional		$565.39	$614.54	$1,167.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $274.44 / $274.44 / $1,062.08	Facility		$274.44	$274.44	$1,062.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $240.50 / $301.35 / $499.48	Professional		$240.50	$301.35	$499.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.09 / $838.20 / $1,210.80	Professional		$64.09	$838.20	$1,210.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $452.18 / $452.18 / $614.54	Facility		$452.18	$452.18	$614.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $330.09 / $330.09 / $810.38	Professional		$330.09	$330.09	$810.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $424.98 / $424.98 / $584.94	Facility		$424.98	$424.98	$584.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $424.98 / $584.94 / $596.64	Professional		$424.98	$584.94	$596.64
United Facility/Professional Facility Modifier Low / Median / High Price $696.49 / $819.40 / $983.28	Facility		$696.49	$819.40	$983.28
United Facility/Professional Professional Modifier Low / Median / High Price $277.10 / $364.69 / $554.21	Professional		$277.10	$364.69	$554.21