Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.87 / $309.87 / $1,199.20	Facility		$309.87	$309.87	$1,199.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.54 / $328.09 / $447.78	Professional		$271.54	$328.09	$447.78
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 $528.35 / $693.87 / $693.87	Professional		$528.35	$693.87	$693.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.58 / $500.58 / $693.87	Facility		$500.58	$500.58	$693.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.42 / $365.42 / $607.58	Professional		$365.42	$365.42	$607.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $638.36 / $693.87 / $1,318.35	Professional		$638.36	$693.87	$1,318.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $309.87 / $309.87 / $1,199.20	Facility		$309.87	$309.87	$1,199.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $271.54 / $340.24 / $563.96	Professional		$271.54	$340.24	$563.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $470.00 / $946.40 / $1,367.10	Professional		$470.00	$946.40	$1,367.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.58 / $500.58 / $693.87	Facility		$500.58	$500.58	$693.87
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $365.42 / $365.42 / $897.00	Professional		$365.42	$365.42	$897.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $331.57 / $331.57 / $660.44	Facility		$331.57	$331.57	$660.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $331.57 / $660.44 / $673.65	Professional		$331.57	$660.44	$673.65
United Facility/Professional Professional Modifier Low / Median / High Price $324.54 / $416.32 / $625.74	Professional		$324.54	$416.32	$625.74