Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.98 / $669.27 / $12,727.89	Facility		$526.98	$669.27	$12,727.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.98 / $526.98 / $526.98	Professional		$495.98	$526.98	$526.98
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,006.32 / $5,889.79 / $8,834.69	Facility		$5,006.32	$5,889.79	$8,834.69
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $5,889.79 / $5,889.79 / $5,889.79	Professional		$5,889.79	$5,889.79	$5,889.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.98 / $526.98 / $526.98	Facility		$526.98	$526.98	$526.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.98 / $526.98 / $526.98	Professional		$526.98	$526.98	$526.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $526.98 / $526.98 / $526.98	Professional		$526.98	$526.98	$526.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $526.98 / $753.58 / $12,727.89	Facility		$526.98	$753.58	$12,727.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $495.98 / $526.98 / $669.27	Professional		$495.98	$526.98	$669.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $538.60 / $1,329.87 / $2,059.54	Professional		$538.60	$1,329.87	$2,059.54
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $526.98 / $526.98 / $526.98	Facility		$526.98	$526.98	$526.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $526.98 / $526.98 / $526.98	Professional		$526.98	$526.98	$526.98
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $547.20 / $547.20 / $601.91	Facility		$547.20	$547.20	$601.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $547.20 / $547.20 / $601.91	Professional		$547.20	$547.20	$601.91
United Facility/Professional Professional Modifier Low / Median / High Price $516.65 / $516.65 / $674.23	Professional		$516.65	$516.65	$674.23