Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.47 / $292.47 / $1,131.85	Facility		$292.47	$292.47	$1,131.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.29 / $309.67 / $399.04	Professional		$256.29	$309.67	$399.04
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 $498.69 / $654.91 / $654.91	Professional		$498.69	$654.91	$654.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $434.07 / $434.07 / $654.91	Facility		$434.07	$434.07	$654.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.87 / $316.87 / $573.47	Professional		$316.87	$316.87	$573.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $602.53 / $654.91 / $1,244.34	Professional		$602.53	$654.91	$1,244.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $292.47 / $292.47 / $1,131.85	Facility		$292.47	$292.47	$1,131.85
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $256.29 / $309.67 / $451.21	Professional		$256.29	$309.67	$451.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $812.00 / $933.80 / $1,290.30	Professional		$812.00	$933.80	$1,290.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $434.07 / $434.07 / $654.91	Facility		$434.07	$434.07	$654.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $316.87 / $316.87 / $777.75	Professional		$316.87	$316.87	$777.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $468.23 / $623.36 / $623.36	Facility		$468.23	$623.36	$623.36
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $468.23 / $623.36 / $638.69	Professional		$468.23	$623.36	$638.69
United Facility/Professional Professional Modifier Low / Median / High Price $295.30 / $364.85 / $590.59	Professional		$295.30	$364.85	$590.59