Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.27 / $264.27 / $1,022.76	Facility		$264.27	$264.27	$1,022.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.59 / $279.82 / $373.10	Professional		$231.59	$279.82	$373.10
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 $450.62 / $591.78 / $591.78	Professional		$450.62	$591.78	$591.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.78 / $400.78 / $591.78	Facility		$400.78	$400.78	$591.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.57 / $292.57 / $518.19	Professional		$292.57	$292.57	$518.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $544.44 / $591.78 / $1,124.38	Professional		$544.44	$591.78	$1,124.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $264.27 / $264.27 / $1,022.76	Facility		$264.27	$264.27	$1,022.76
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $231.59 / $290.19 / $480.99	Professional		$231.59	$290.19	$480.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $400.80 / $807.10 / $1,165.90	Professional		$400.80	$807.10	$1,165.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $400.78 / $400.78 / $591.78	Facility		$400.78	$400.78	$591.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $292.57 / $292.57 / $772.13	Professional		$292.57	$292.57	$772.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $282.79 / $282.79 / $563.27	Facility		$282.79	$282.79	$563.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $282.79 / $563.27 / $574.54	Professional		$282.79	$563.27	$574.54
United Facility/Professional Professional Modifier Low / Median / High Price $276.79 / $329.68 / $591.78	Professional		$276.79	$329.68	$591.78