Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $353.76 / $353.76 / $1,369.05	Facility		$353.76	$353.76	$1,369.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.00 / $374.57 / $482.70	Professional		$310.00	$374.57	$482.70
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 $603.19 / $792.16 / $792.16	Professional		$603.19	$792.16	$792.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $525.23 / $525.23 / $792.16	Facility		$525.23	$525.23	$792.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.42 / $383.42 / $693.64	Professional		$383.42	$383.42	$693.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $728.79 / $792.16 / $1,505.10	Professional		$728.79	$792.16	$1,505.10
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $353.76 / $353.76 / $1,369.05	Facility		$353.76	$353.76	$1,369.05
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $310.00 / $374.57 / $545.80	Professional		$310.00	$374.57	$545.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $982.20 / $1,129.50 / $1,560.70	Professional		$982.20	$1,129.50	$1,560.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $525.23 / $525.23 / $792.16	Facility		$525.23	$525.23	$792.16
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $383.42 / $383.42 / $940.88	Professional		$383.42	$383.42	$940.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $566.35 / $753.99 / $753.99	Facility		$566.35	$753.99	$753.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $566.35 / $753.99 / $772.51	Professional		$566.35	$753.99	$772.51
United Facility/Professional Professional Modifier Low / Median / High Price $361.72 / $446.48 / $692.12	Professional		$361.72	$446.48	$692.12