Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.20 / $273.20 / $1,057.32	Facility		$273.20	$273.20	$1,057.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.42 / $289.27 / $372.80	Professional		$239.42	$289.27	$372.80
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 $465.86 / $611.79 / $611.79	Professional		$465.86	$611.79	$611.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $405.51 / $405.51 / $611.79	Facility		$405.51	$405.51	$611.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.02 / $296.02 / $535.71	Professional		$296.02	$296.02	$535.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $562.86 / $611.79 / $1,162.42	Professional		$562.86	$611.79	$1,162.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $273.20 / $273.20 / $1,057.32	Facility		$273.20	$273.20	$1,057.32
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $239.42 / $289.27 / $421.53	Professional		$239.42	$289.27	$421.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $758.50 / $872.30 / $1,205.30	Professional		$758.50	$872.30	$1,205.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $405.51 / $405.51 / $611.79	Facility		$405.51	$405.51	$611.79
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $296.02 / $296.02 / $726.75	Professional		$296.02	$296.02	$726.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $582.32 / $582.32 / $582.32	Facility		$582.32	$582.32	$582.32
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $582.32 / $582.32 / $596.65	Professional		$582.32	$582.32	$596.65
United Facility/Professional Professional Modifier Low / Median / High Price $275.86 / $330.65 / $551.72	Professional		$275.86	$330.65	$551.72