Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.17 / $2,018.26 / $2,446.19	Facility		$497.17	$2,018.26	$2,446.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.94 / $473.77 / $497.17	Professional		$350.94	$473.77	$497.17
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 $456.22 / $456.22 / $456.22	Professional		$456.22	$456.22	$456.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.08 / $863.91 / $1,940.67	Facility		$555.08	$863.91	$1,940.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,819.22 / $2,819.22 / $2,819.22	Professional		$2,819.22	$2,819.22	$2,819.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $614.15 / $789.62 / $1,444.70	Professional		$614.15	$789.62	$1,444.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $602.45 / $1,660.55 / $2,415.64	Facility		$602.45	$1,660.55	$2,415.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $383.87 / $497.17 / $2,415.64	Professional		$383.87	$497.17	$2,415.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $865.65 / $877.35 / $1,169.80	Professional		$865.65	$877.35	$1,169.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $569.24 / $905.26 / $1,940.67	Facility		$569.24	$905.26	$1,940.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,819.22 / $2,819.22 / $2,819.22	Professional		$2,819.22	$2,819.22	$2,819.22
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $584.90 / $584.90 / $643.39	Facility		$584.90	$584.90	$643.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $584.90 / $643.39	Professional		$584.90	$584.90	$643.39
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $350.94 / $1,058.90	Professional		$245.66	$350.94	$1,058.90