Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.69 / $266.69 / $1,032.08	Facility		$266.69	$266.69	$1,032.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.34 / $282.38 / $329.05	Professional		$234.34	$282.38	$329.05
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 $454.74 / $597.20 / $597.20	Professional		$454.74	$597.20	$597.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $298.85 / $298.85 / $637.69	Facility		$298.85	$298.85	$637.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.16 / $218.16 / $558.39	Professional		$218.16	$218.16	$558.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $586.66 / $637.69 / $1,211.60	Professional		$586.66	$637.69	$1,211.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $266.69 / $266.69 / $1,032.08	Facility		$266.69	$266.69	$1,032.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $234.34 / $282.38 / $382.08	Professional		$234.34	$282.38	$382.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $431.90 / $869.70 / $1,256.40	Professional		$431.90	$869.70	$1,256.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $298.85 / $298.85 / $637.69	Facility		$298.85	$298.85	$637.69
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $218.16 / $218.16 / $715.50	Professional		$218.16	$218.16	$715.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $285.38 / $285.38 / $568.41	Facility		$285.38	$285.38	$568.41
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $285.38 / $568.41 / $606.97	Professional		$285.38	$568.41	$606.97
United Facility/Professional Professional Modifier Low / Median / High Price $269.29 / $323.76 / $538.57	Professional		$269.29	$323.76	$538.57