Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.95 / $293.95 / $1,137.58	Facility		$293.95	$293.95	$1,137.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.01 / $311.25 / $369.58	Professional		$225.01	$311.25	$369.58
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 $501.22 / $658.25 / $658.25	Professional		$501.22	$658.25	$658.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $444.49 / $444.49 / $574.98	Facility		$444.49	$444.49	$574.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.48 / $324.48 / $503.47	Professional		$324.48	$324.48	$503.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $528.98 / $574.98 / $1,092.46	Professional		$528.98	$574.98	$1,092.46
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $293.95 / $293.95 / $1,137.58	Facility		$293.95	$293.95	$1,137.58
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $225.01 / $311.25 / $450.22	Professional		$225.01	$311.25	$450.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $389.40 / $784.20 / $1,132.80	Professional		$389.40	$784.20	$1,132.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $444.49 / $444.49 / $574.98	Facility		$444.49	$444.49	$574.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $324.48 / $324.48 / $796.50	Professional		$324.48	$324.48	$796.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $314.52 / $314.52 / $626.53	Facility		$314.52	$314.52	$626.53
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $314.52 / $626.53 / $639.05	Professional		$314.52	$626.53	$639.05
United Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $108.00 / $108.00	Facility		$108.00	$108.00	$108.00
United Facility/Professional Professional Modifier Low / Median / High Price $291.88 / $366.70 / $574.98	Professional		$291.88	$366.70	$574.98