Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.91 / $519.91 / $2,012.09	Facility		$519.91	$519.91	$2,012.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.39 / $601.65 / $838.38	Professional		$494.39	$601.65	$838.38
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 $961.97 / $1,263.33 / $1,263.33	Professional		$961.97	$1,263.33	$1,263.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,014.49 / $1,014.49 / $1,263.33	Facility		$1,014.49	$1,014.49	$1,263.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $740.58 / $740.58 / $1,106.22	Professional		$740.58	$740.58	$1,106.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,162.26 / $1,263.33 / $2,400.33	Professional		$1,162.26	$1,263.33	$2,400.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $519.91 / $519.91 / $2,012.09	Facility		$519.91	$519.91	$2,012.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $430.08 / $608.41 / $891.42	Professional		$430.08	$608.41	$891.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,566.40 / $1,801.30 / $2,489.00	Professional		$1,566.40	$1,801.30	$2,489.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,014.49 / $1,014.49 / $1,263.33	Facility		$1,014.49	$1,014.49	$1,263.33
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $740.58 / $740.58 / $1,809.75	Professional		$740.58	$740.58	$1,809.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $903.23 / $1,202.46 / $1,202.46	Facility		$903.23	$1,202.46	$1,202.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $903.23 / $1,202.46 / $1,485.70	Professional		$903.23	$1,202.46	$1,485.70
United Facility/Professional Professional Modifier Low / Median / High Price $525.22 / $631.29 / $1,103.80	Professional		$525.22	$631.29	$1,103.80