Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.17 / $300.17 / $1,161.66	Facility		$300.17	$300.17	$1,161.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.17 / $329.60 / $405.16	Professional		$300.17	$329.60	$405.16
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 $511.82 / $672.17 / $672.17	Professional		$511.82	$672.17	$672.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.01 / $420.01 / $848.15	Facility		$420.01	$420.01	$848.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.61 / $306.61 / $742.67	Professional		$306.61	$306.61	$742.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $780.30 / $848.15 / $1,611.49	Professional		$780.30	$848.15	$1,611.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $300.17 / $300.17 / $1,161.66	Facility		$300.17	$300.17	$1,161.66
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $294.29 / $329.60 / $546.30	Professional		$294.29	$329.60	$546.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $574.40 / $1,156.80 / $1,671.00	Professional		$574.40	$1,156.80	$1,671.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $420.01 / $420.01 / $848.15	Facility		$420.01	$420.01	$848.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $306.61 / $306.61 / $822.38	Professional		$306.61	$306.61	$822.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $464.81 / $464.81 / $639.78	Facility		$464.81	$464.81	$639.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $464.81 / $639.78 / $807.28	Professional		$464.81	$639.78	$807.28
United Facility/Professional Professional Modifier Low / Median / High Price $314.38 / $393.85 / $606.16	Professional		$314.38	$393.85	$606.16