Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.82 / $331.82 / $1,284.14	Facility		$331.82	$331.82	$1,284.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.27 / $351.33 / $434.32	Professional		$262.27	$351.33	$434.32
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 $565.78 / $743.02 / $743.02	Professional		$565.78	$743.02	$743.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $418.79 / $418.79 / $670.20	Facility		$418.79	$418.79	$670.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.72 / $305.72 / $586.85	Professional		$305.72	$305.72	$586.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $616.58 / $670.20 / $1,273.38	Professional		$616.58	$670.20	$1,273.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $331.82 / $331.82 / $1,284.14	Facility		$331.82	$331.82	$1,284.14
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $262.27 / $351.33 / $518.76	Professional		$262.27	$351.33	$518.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $453.90 / $914.10 / $1,320.40	Professional		$453.90	$914.10	$1,320.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $418.79 / $418.79 / $670.20	Facility		$418.79	$418.79	$670.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $305.72 / $305.72 / $934.50	Professional		$305.72	$305.72	$934.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $513.80 / $513.80 / $707.22	Facility		$513.80	$513.80	$707.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $513.80 / $707.22 / $721.36	Professional		$513.80	$707.22	$721.36
United Facility/Professional Facility Modifier Low / Median / High Price $306.73 / $306.73 / $306.73	Facility		$306.73	$306.73	$306.73
United Facility/Professional Professional Modifier Low / Median / High Price $335.03 / $418.79 / $670.06	Professional		$335.03	$418.79	$670.06