Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.72 / $267.72 / $1,036.08	Facility		$267.72	$267.72	$1,036.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.29 / $283.47 / $378.69	Professional		$236.29	$283.47	$378.69
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 $456.50 / $599.51 / $599.51	Professional		$456.50	$599.51	$599.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $483.85 / $483.85 / $603.79	Facility		$483.85	$483.85	$603.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.21 / $353.21 / $528.70	Professional		$353.21	$353.21	$528.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $555.49 / $603.79 / $1,147.20	Professional		$555.49	$603.79	$1,147.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $267.72 / $267.72 / $1,036.08	Facility		$267.72	$267.72	$1,036.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $236.29 / $289.22 / $487.25	Professional		$236.29	$289.22	$487.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $408.90 / $823.50 / $1,189.59	Professional		$408.90	$823.50	$1,189.59
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $483.85 / $483.85 / $603.79	Facility		$483.85	$483.85	$603.79
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $353.21 / $353.21 / $796.13	Professional		$353.21	$353.21	$796.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $286.47 / $286.47 / $570.62	Facility		$286.47	$286.47	$570.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $286.47 / $570.62 / $582.03	Professional		$286.47	$570.62	$582.03
United Facility/Professional Facility Modifier Low / Median / High Price $389.42 / $389.42 / $389.42	Facility		$389.42	$389.42	$389.42
United Facility/Professional Professional Modifier Low / Median / High Price $279.93 / $360.52 / $603.79	Professional		$279.93	$360.52	$603.79