Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.54 / $335.54 / $1,298.54	Facility		$335.54	$335.54	$1,298.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.04 / $355.28 / $520.33	Professional		$294.04	$355.28	$520.33
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 $572.14 / $751.38 / $751.38	Professional		$572.14	$751.38	$751.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.36 / $644.36 / $751.38	Facility		$644.36	$644.36	$751.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.38 / $470.38 / $663.69	Professional		$470.38	$470.38	$663.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $691.27 / $751.38 / $1,427.62	Professional		$691.27	$751.38	$1,427.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $335.54 / $335.54 / $1,298.54	Facility		$335.54	$335.54	$1,298.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $294.04 / $368.44 / $671.70	Professional		$294.04	$368.44	$671.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $508.80 / $1,024.80 / $1,480.30	Professional		$508.80	$1,024.80	$1,480.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $644.36 / $644.36 / $751.38	Facility		$644.36	$644.36	$751.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $470.38 / $470.38 / $1,134.75	Professional		$470.38	$470.38	$1,134.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $359.05 / $359.05 / $715.17	Facility		$359.05	$359.05	$715.17
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $359.05 / $715.17 / $729.47	Professional		$359.05	$715.17	$729.47
United Facility/Professional Professional Modifier Low / Median / High Price $351.44 / $440.26 / $677.60	Professional		$351.44	$440.26	$677.60