Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.56 / $265.56 / $1,027.72	Facility		$265.56	$265.56	$1,027.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.72 / $281.18 / $374.91	Professional		$232.72	$281.18	$374.91
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 $452.81 / $594.66 / $594.66	Professional		$452.81	$594.66	$594.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.27 / $401.27 / $594.66	Facility		$401.27	$401.27	$594.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.93 / $292.93 / $520.71	Professional		$292.93	$292.93	$520.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $547.10 / $594.66 / $1,129.86	Professional		$547.10	$594.66	$1,129.86
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $265.56 / $265.56 / $1,027.72	Facility		$265.56	$265.56	$1,027.72
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $232.72 / $281.18 / $464.58	Professional		$232.72	$281.18	$464.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $737.30 / $847.90 / $1,171.59	Professional		$737.30	$847.90	$1,171.59
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $401.27 / $401.27 / $594.66	Facility		$401.27	$401.27	$594.66
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $292.93 / $292.93 / $706.50	Professional		$292.93	$292.93	$706.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $425.16 / $566.01 / $566.01	Facility		$425.16	$566.01	$566.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $425.16 / $566.01 / $579.91	Professional		$425.16	$566.01	$579.91
United Facility/Professional Professional Modifier Low / Median / High Price $276.30 / $321.39 / $536.28	Professional		$276.30	$321.39	$536.28