Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.84 / $455.84 / $1,764.10	Facility		$455.84	$455.84	$1,764.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.45 / $482.65 / $643.54	Professional		$399.45	$482.65	$643.54
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 $777.25 / $1,020.74 / $1,020.74	Professional		$777.25	$1,020.74	$1,020.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.31 / $660.31 / $1,020.74	Facility		$660.31	$660.31	$1,020.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.03 / $482.03 / $893.80	Professional		$482.03	$482.03	$893.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $939.08 / $1,020.74 / $1,939.41	Professional		$939.08	$1,020.74	$1,939.41
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $455.84 / $455.84 / $1,764.10	Facility		$455.84	$455.84	$1,764.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $399.45 / $498.41 / $829.63	Professional		$399.45	$498.41	$829.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $691.40 / $1,392.10 / $2,011.00	Professional		$691.40	$1,392.10	$2,011.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $660.31 / $660.31 / $1,020.74	Facility		$660.31	$660.31	$1,020.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $482.03 / $482.03 / $1,183.50	Professional		$482.03	$482.03	$1,183.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $487.76 / $487.76 / $971.56	Facility		$487.76	$487.76	$971.56
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $487.76 / $971.56 / $971.56	Professional		$487.76	$971.56	$971.56
United Facility/Professional Professional Modifier Low / Median / High Price $477.42 / $612.44 / $920.51	Professional		$477.42	$612.44	$920.51