Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.65 / $390.65 / $1,511.82	Facility		$390.65	$390.65	$1,511.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.34 / $413.63 / $554.63	Professional		$342.34	$413.63	$554.63
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 $666.10 / $874.78 / $874.78	Professional		$666.10	$874.78	$874.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $673.11 / $673.11 / $874.78	Facility		$673.11	$673.11	$874.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.37 / $491.37 / $765.98	Professional		$491.37	$491.37	$765.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $804.80 / $874.78 / $1,662.08	Professional		$804.80	$874.78	$1,662.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $390.65 / $390.65 / $1,511.82	Facility		$390.65	$390.65	$1,511.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $342.34 / $428.95 / $710.98	Professional		$342.34	$428.95	$710.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $592.50 / $1,193.09 / $1,723.50	Professional		$592.50	$1,193.09	$1,723.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $673.11 / $673.11 / $874.78	Facility		$673.11	$673.11	$874.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $491.37 / $491.37 / $1,206.38	Professional		$491.37	$491.37	$1,206.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $418.02 / $418.02 / $832.63	Facility		$418.02	$418.02	$832.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $418.02 / $832.63 / $849.28	Professional		$418.02	$832.63	$849.28
United Facility/Professional Professional Modifier Low / Median / High Price $394.45 / $512.57 / $788.89	Professional		$394.45	$512.57	$788.89