Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.43 / $292.43 / $1,131.70	Facility		$292.43	$292.43	$1,131.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.92 / $309.64 / $397.41	Professional		$266.92	$309.64	$397.41
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 $498.63 / $654.85 / $654.85	Professional		$498.63	$654.85	$654.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $468.67 / $468.67 / $682.08	Facility		$468.67	$468.67	$682.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.13 / $342.13 / $597.25	Professional		$342.13	$342.13	$597.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $627.51 / $682.08 / $1,295.95	Professional		$627.51	$682.08	$1,295.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $292.43 / $292.43 / $1,131.70	Facility		$292.43	$292.43	$1,131.70
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $262.10 / $310.50 / $532.22	Professional		$262.10	$310.50	$532.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $462.00 / $930.20 / $1,343.80	Professional		$462.00	$930.20	$1,343.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $468.67 / $468.67 / $682.08	Facility		$468.67	$468.67	$682.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $342.13 / $342.13 / $840.00	Professional		$342.13	$342.13	$840.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $312.91 / $312.91 / $623.29	Facility		$312.91	$312.91	$623.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $312.91 / $623.29 / $649.21	Professional		$312.91	$623.29	$649.21
United Facility/Professional Facility Modifier Low / Median / High Price $383.20 / $383.20 / $383.20	Facility		$383.20	$383.20	$383.20
United Facility/Professional Professional Modifier Low / Median / High Price $306.29 / $353.92 / $572.15	Professional		$306.29	$353.92	$572.15