Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $443.80 / $443.80 / $1,717.51	Facility		$443.80	$443.80	$1,717.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.35 / $491.01 / $654.22	Professional		$441.35	$491.01	$654.22
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 $821.12 / $1,078.36 / $1,078.36	Professional		$821.12	$1,078.36	$1,078.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $711.81 / $711.81 / $1,146.39	Facility		$711.81	$711.81	$1,146.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.62 / $519.62 / $1,003.82	Professional		$519.62	$519.62	$1,003.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,054.68 / $1,146.39 / $2,178.14	Professional		$1,054.68	$1,146.39	$2,178.14
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $443.80 / $443.80 / $1,717.51	Facility		$443.80	$443.80	$1,717.51
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $441.35 / $509.90 / $804.91	Professional		$441.35	$509.90	$804.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $453.50 / $595.90 / $2,258.60	Professional		$453.50	$595.90	$2,258.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $711.81 / $711.81 / $1,146.39	Facility		$711.81	$711.81	$1,146.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $519.62 / $519.62 / $1,395.75	Professional		$519.62	$519.62	$1,395.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $770.99 / $1,026.40 / $1,026.40	Facility		$770.99	$1,026.40	$1,026.40
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $770.99 / $1,026.40 / $1,145.93	Professional		$770.99	$1,026.40	$1,145.93
United Facility/Professional Professional Modifier Low / Median / High Price $445.72 / $543.36 / $972.48	Professional		$445.72	$543.36	$972.48