Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.64 / $287.64 / $1,113.21	Facility		$287.64	$287.64	$1,113.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.81 / $304.57 / $407.09	Professional		$249.81	$304.57	$407.09
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 $490.47 / $644.13 / $644.13	Professional		$490.47	$644.13	$644.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $412.94 / $412.94 / $638.35	Facility		$412.94	$412.94	$638.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.45 / $301.45 / $558.96	Professional		$301.45	$301.45	$558.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $587.28 / $638.35 / $1,212.86	Professional		$587.28	$638.35	$1,212.86
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $287.64 / $287.64 / $1,113.21	Facility		$287.64	$287.64	$1,113.21
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $249.81 / $311.70 / $479.24	Professional		$249.81	$311.70	$479.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $432.30 / $870.60 / $1,257.70	Professional		$432.30	$870.60	$1,257.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $412.94 / $412.94 / $638.35	Facility		$412.94	$412.94	$638.35
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $301.45 / $301.45 / $739.88	Professional		$301.45	$301.45	$739.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $307.81 / $307.81 / $613.09	Facility		$307.81	$307.81	$613.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $307.81 / $607.59 / $613.09	Professional		$307.81	$607.59	$613.09
United Facility/Professional Professional Modifier Low / Median / High Price $290.44 / $363.05 / $580.87	Professional		$290.44	$363.05	$580.87