Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $361.16 / $361.16 / $1,397.69	Facility		$361.16	$361.16	$1,397.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.08 / $396.26 / $539.15	Professional		$361.08	$396.26	$539.15
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 $615.80 / $808.72 / $808.72	Professional		$615.80	$808.72	$808.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $649.92 / $649.92 / $1,051.45	Facility		$649.92	$649.92	$1,051.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.45 / $474.45 / $944.20	Professional		$474.45	$474.45	$944.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $992.04 / $1,078.30 / $2,048.77	Professional		$992.04	$1,078.30	$2,048.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $361.16 / $361.16 / $1,397.69	Facility		$361.16	$361.16	$1,397.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $354.08 / $396.56 / $613.65	Professional		$354.08	$396.56	$613.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $730.40 / $1,470.70 / $2,124.40	Professional		$730.40	$1,470.70	$2,124.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $649.92 / $649.92 / $1,051.45	Facility		$649.92	$649.92	$1,051.45
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $474.45 / $474.45 / $1,058.63	Professional		$474.45	$474.45	$1,058.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $386.46 / $386.46 / $769.76	Facility		$386.46	$386.46	$769.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $386.46 / $769.76 / $1,026.33	Professional		$386.46	$769.76	$1,026.33
United Facility/Professional Professional Modifier Low / Median / High Price $379.78 / $450.53 / $706.60	Professional		$379.78	$450.53	$706.60