Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.31 / $359.31 / $1,390.53	Facility		$359.31	$359.31	$1,390.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.67 / $375.25 / $452.53	Professional		$315.67	$375.25	$452.53
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 $612.65 / $804.58 / $804.58	Professional		$612.65	$804.58	$804.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $402.56 / $402.56 / $858.99	Facility		$402.56	$402.56	$858.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.87 / $293.87 / $752.17	Professional		$293.87	$293.87	$752.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $790.27 / $858.99 / $1,632.08	Professional		$790.27	$858.99	$1,632.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $359.31 / $359.31 / $1,390.53	Facility		$359.31	$359.31	$1,390.53
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $315.67 / $380.44 / $479.50	Professional		$315.67	$380.44	$479.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $581.79 / $1,171.50 / $1,692.40	Professional		$581.79	$1,171.50	$1,692.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $402.56 / $402.56 / $858.99	Facility		$402.56	$402.56	$858.99
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $293.87 / $293.87 / $984.38	Professional		$293.87	$293.87	$984.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $384.46 / $384.46 / $765.81	Facility		$384.46	$384.46	$765.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $384.46 / $765.81 / $817.60	Professional		$384.46	$765.81	$817.60
United Facility/Professional Professional Modifier Low / Median / High Price $362.78 / $448.98 / $702.97	Professional		$362.78	$448.98	$702.97