Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.30 / $395.30 / $1,529.81	Facility		$395.30	$395.30	$1,529.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.30 / $418.55 / $488.55	Professional		$301.30	$418.55	$488.55
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 $674.02 / $885.19 / $885.19	Professional		$674.02	$885.19	$885.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $496.34 / $496.34 / $769.91	Facility		$496.34	$496.34	$769.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.33 / $362.33 / $998.63	Professional		$362.33	$362.33	$998.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $708.32 / $769.91 / $1,462.83	Professional		$708.32	$769.91	$1,462.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $395.30 / $395.30 / $1,529.81	Facility		$395.30	$395.30	$1,529.81
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $301.30 / $420.56 / $589.11	Professional		$301.30	$420.56	$589.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $521.40 / $1,050.09 / $1,516.90	Professional		$521.40	$1,050.09	$1,516.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $496.34 / $496.34 / $769.91	Facility		$496.34	$496.34	$769.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $362.33 / $362.33 / $998.63	Professional		$362.33	$362.33	$998.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $422.98 / $422.98 / $842.53	Facility		$422.98	$422.98	$842.53
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $422.98 / $819.80 / $842.53	Professional		$422.98	$819.80	$842.53
United Facility/Professional Professional Modifier Low / Median / High Price $399.14 / $478.41 / $798.28	Professional		$399.14	$478.41	$798.28