Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.27 / $1,555.92 / $1,885.83	Facility		$383.27	$1,555.92	$1,885.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.67 / $365.24 / $383.27	Professional		$333.67	$365.24	$383.27
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 $351.71 / $351.71 / $351.71	Professional		$351.71	$351.71	$351.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $427.91 / $666.07 / $1,496.25	Facility		$427.91	$666.07	$1,496.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,173.39 / $2,173.39 / $2,173.39	Professional		$2,173.39	$2,173.39	$2,173.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $473.46 / $608.73 / $1,113.75	Professional		$473.46	$608.73	$1,113.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $464.44 / $1,280.11 / $1,862.26	Facility		$464.44	$1,280.11	$1,862.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $338.18 / $383.27 / $1,862.26	Professional		$338.18	$383.27	$1,862.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $667.35 / $676.37 / $901.82	Professional		$667.35	$676.37	$901.82
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $438.89 / $697.97 / $1,496.25	Facility		$438.89	$697.97	$1,496.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,173.39 / $2,173.39 / $2,173.39	Professional		$2,173.39	$2,173.39	$2,173.39
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $450.91 / $450.91 / $496.00	Facility		$450.91	$450.91	$496.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $450.91 / $450.91 / $496.00	Professional		$450.91	$450.91	$496.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.38 / $270.55 / $631.27	Professional		$189.38	$270.55	$631.27