Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.99 / $823.00 / $3,031.51	Facility		$344.99	$823.00	$3,031.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.17 / $817.68 / $933.17	Professional		$656.17	$817.68	$933.17
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 $938.87 / $974.30 / $1,413.06	Professional		$938.87	$974.30	$1,413.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $613.86 / $902.54 / $1,518.77	Facility		$613.86	$902.54	$1,518.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.74 / $1,052.60 / $1,585.79	Professional		$628.74	$1,052.60	$1,585.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,125.71 / $1,219.32 / $1,568.41	Professional		$1,125.71	$1,219.32	$1,568.41
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $344.99 / $1,078.13 / $3,250.85	Facility		$344.99	$1,078.13	$3,250.85
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $695.23 / $828.29 / $1,539.01	Professional		$695.23	$828.29	$1,539.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,341.10 / $1,341.10 / $2,236.50	Professional		$1,341.10	$1,341.10	$2,236.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $612.54 / $902.54 / $1,272.14	Facility		$612.54	$902.54	$1,272.14
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $667.37 / $1,063.70 / $1,665.35	Professional		$667.37	$1,063.70	$1,665.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $862.67 / $862.67 / $875.11	Facility		$862.67	$862.67	$875.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $846.32 / $862.67 / $950.01	Professional		$846.32	$862.67	$950.01
United Facility/Professional Facility Modifier Low / Median / High Price $731.91 / $1,386.47 / $1,803.00	Facility		$731.91	$1,386.47	$1,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $757.67 / $992.94 / $1,679.24	Professional		$757.67	$992.94	$1,679.24