Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.74 / $299.74 / $1,159.99	Facility		$299.74	$299.74	$1,159.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.42 / $317.37 / $419.90	Professional		$266.42	$317.37	$419.90
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 $511.10 / $671.21 / $671.21	Professional		$511.10	$671.21	$671.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.41 / $419.41 / $680.80	Facility		$419.41	$419.41	$680.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.17 / $306.17 / $895.13	Professional		$306.17	$306.17	$895.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $626.34 / $680.80 / $1,293.52	Professional		$626.34	$680.80	$1,293.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $299.74 / $299.74 / $1,159.99	Facility		$299.74	$299.74	$1,159.99
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $266.42 / $317.37 / $458.99	Professional		$266.42	$317.37	$458.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $461.10 / $928.50 / $1,341.30	Professional		$461.10	$928.50	$1,341.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $419.41 / $419.41 / $680.80	Facility		$419.41	$419.41	$680.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $306.17 / $306.17 / $895.13	Professional		$306.17	$306.17	$895.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $320.74 / $320.74 / $638.87	Facility		$320.74	$320.74	$638.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $320.74 / $638.87 / $651.65	Professional		$320.74	$638.87	$651.65
United Facility/Professional Professional Modifier Low / Median / High Price $315.20 / $393.29 / $605.29	Professional		$315.20	$393.29	$605.29