Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.89 / $313.89 / $1,214.79	Facility		$313.89	$313.89	$1,214.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.60 / $332.36 / $434.44	Professional		$275.60	$332.36	$434.44
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 $535.23 / $702.90 / $702.90	Professional		$535.23	$702.90	$702.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $527.25 / $527.25 / $704.24	Facility		$527.25	$527.25	$704.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.89 / $384.89 / $616.65	Professional		$384.89	$384.89	$616.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $647.90 / $704.24 / $1,338.06	Professional		$647.90	$704.24	$1,338.06
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $313.89 / $313.89 / $1,214.79	Facility		$313.89	$313.89	$1,214.79
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $275.60 / $332.36 / $523.16	Professional		$275.60	$332.36	$523.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $873.20 / $1,004.10 / $1,387.50	Professional		$873.20	$1,004.10	$1,387.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $527.25 / $527.25 / $704.24	Facility		$527.25	$527.25	$704.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $384.89 / $384.89 / $945.00	Professional		$384.89	$384.89	$945.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $502.54 / $669.04 / $669.04	Facility		$502.54	$669.04	$669.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $502.54 / $669.04 / $775.78	Professional		$502.54	$669.04	$775.78
United Facility/Professional Professional Modifier Low / Median / High Price $340.37 / $421.74 / $614.14	Professional		$340.37	$421.74	$614.14