Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.07 / $299.07 / $1,157.40	Facility		$299.07	$299.07	$1,157.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.04 / $316.66 / $408.40	Professional		$256.04	$316.66	$408.40
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 $509.94 / $669.70 / $669.70	Professional		$509.94	$669.70	$669.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $528.47 / $528.47 / $654.24	Facility		$528.47	$528.47	$654.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.78 / $385.78 / $572.88	Professional		$385.78	$385.78	$572.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $601.90 / $654.24 / $1,243.06	Professional		$601.90	$654.24	$1,243.06
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $299.07 / $299.07 / $1,157.40	Facility		$299.07	$299.07	$1,157.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $256.04 / $316.66 / $451.91	Professional		$256.04	$316.66	$451.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $443.10 / $892.30 / $1,289.00	Professional		$443.10	$892.30	$1,289.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $528.47 / $528.47 / $654.24	Facility		$528.47	$528.47	$654.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $385.78 / $385.78 / $888.38	Professional		$385.78	$385.78	$888.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $320.01 / $320.01 / $637.42	Facility		$320.01	$320.01	$637.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $320.01 / $637.42 / $650.17	Professional		$320.01	$637.42	$650.17
United Facility/Professional Professional Modifier Low / Median / High Price $313.22 / $392.54 / $603.91	Professional		$313.22	$392.54	$603.91