Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.91 / $390.91 / $1,512.82	Facility		$390.91	$390.91	$1,512.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.56 / $413.90 / $566.92	Professional		$342.56	$413.90	$566.92
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 $666.54 / $875.36 / $875.36	Professional		$666.54	$875.36	$875.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $612.94 / $612.94 / $875.36	Facility		$612.94	$612.94	$875.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.45 / $447.45 / $766.49	Professional		$447.45	$447.45	$766.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $805.33 / $875.36 / $1,663.18	Professional		$805.33	$875.36	$1,663.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $390.91 / $390.91 / $1,512.82	Facility		$390.91	$390.91	$1,512.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $342.56 / $429.23 / $711.46	Professional		$342.56	$429.23	$711.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $592.79 / $1,193.90 / $1,724.60	Professional		$592.79	$1,193.90	$1,724.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $612.94 / $612.94 / $875.36	Facility		$612.94	$612.94	$875.36
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $447.45 / $447.45 / $1,098.38	Professional		$447.45	$447.45	$1,098.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $418.28 / $418.28 / $833.18	Facility		$418.28	$418.28	$833.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $418.28 / $833.18 / $849.84	Professional		$418.28	$833.18	$849.84
United Facility/Professional Facility Modifier Low / Median / High Price $336.48 / $577.08 / $657.98	Facility		$336.48	$577.08	$657.98
United Facility/Professional Professional Modifier Low / Median / High Price $411.07 / $525.22 / $764.81	Professional		$411.07	$525.22	$764.81