Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.11 / $391.11 / $1,513.60	Facility		$391.11	$391.11	$1,513.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.44 / $414.12 / $573.05	Professional		$360.44	$414.12	$573.05
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 $666.89 / $875.81 / $875.81	Professional		$666.89	$875.81	$875.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.50 / $695.50 / $927.46	Facility		$695.50	$695.50	$927.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.72 / $507.72 / $812.12	Professional		$507.72	$507.72	$812.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $853.26 / $927.46 / $1,762.17	Professional		$853.26	$927.46	$1,762.17
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $391.11 / $391.11 / $1,513.60	Facility		$391.11	$391.11	$1,513.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $360.44 / $414.12 / $613.99	Professional		$360.44	$414.12	$613.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $628.20 / $1,264.90 / $1,827.30	Professional		$628.20	$1,264.90	$1,827.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $695.50 / $695.50 / $927.46	Facility		$695.50	$695.50	$927.46
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $507.72 / $507.72 / $1,246.50	Professional		$507.72	$507.72	$1,246.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $418.50 / $418.50 / $833.61	Facility		$418.50	$418.50	$833.61
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $418.50 / $833.61 / $882.77	Professional		$418.50	$833.61	$882.77
United Facility/Professional Professional Modifier Low / Median / High Price $409.63 / $493.62 / $789.79	Professional		$409.63	$493.62	$789.79