Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $385.39 / $385.39 / $1,491.46	Facility		$385.39	$385.39	$1,491.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.73 / $408.06 / $559.26	Professional		$337.73	$408.06	$559.26
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 $657.14 / $863.00 / $863.00	Professional		$657.14	$863.00	$863.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.20 / $582.20 / $863.00	Facility		$582.20	$582.20	$863.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.01 / $425.01 / $755.67	Professional		$425.01	$425.01	$755.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $793.96 / $863.00 / $1,639.70	Professional		$793.96	$863.00	$1,639.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $385.39 / $385.39 / $1,491.46	Facility		$385.39	$385.39	$1,491.46
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $337.73 / $423.18 / $701.41	Professional		$337.73	$423.18	$701.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $584.50 / $1,177.00 / $1,700.30	Professional		$584.50	$1,177.00	$1,700.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $582.20 / $582.20 / $863.00	Facility		$582.20	$582.20	$863.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $425.01 / $425.01 / $1,043.25	Professional		$425.01	$425.01	$1,043.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $412.39 / $412.39 / $821.42	Facility		$412.39	$412.39	$821.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $412.39 / $821.42 / $837.85	Professional		$412.39	$821.42	$837.85
United Facility/Professional Facility Modifier Low / Median / High Price $500.36 / $500.36 / $500.36	Facility		$500.36	$500.36	$500.36
United Facility/Professional Professional Modifier Low / Median / High Price $405.27 / $486.41 / $778.26	Professional		$405.27	$486.41	$778.26