Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.80 / $313.80 / $1,214.41	Facility		$313.80	$313.80	$1,214.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.54 / $332.26 / $421.35	Professional		$261.54	$332.26	$421.35
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 $535.05 / $702.69 / $702.69	Professional		$535.05	$702.69	$702.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.36 / $564.36 / $668.33	Facility		$564.36	$564.36	$668.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.98 / $411.98 / $585.21	Professional		$411.98	$411.98	$585.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $614.86 / $668.33 / $1,269.83	Professional		$614.86	$668.33	$1,269.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $313.80 / $313.80 / $1,214.41	Facility		$313.80	$313.80	$1,214.41
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $261.54 / $332.26 / $506.34	Professional		$261.54	$332.26	$506.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $348.80 / $911.50 / $1,316.70	Professional		$348.80	$911.50	$1,316.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $564.36 / $564.36 / $668.33	Facility		$564.36	$564.36	$668.33
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $411.98 / $411.98 / $916.50	Professional		$411.98	$411.98	$916.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $502.39 / $668.83 / $668.83	Facility		$502.39	$668.83	$668.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $502.39 / $668.83 / $752.58	Professional		$502.39	$668.83	$752.58
United Facility/Professional Professional Modifier Low / Median / High Price $316.83 / $391.60 / $633.67	Professional		$316.83	$391.60	$633.67