Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $638.39 / $638.39 / $2,470.57	Facility		$638.39	$638.39	$2,470.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.09 / $706.30 / $857.59	Professional		$537.09	$706.30	$857.59
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 $1,181.15 / $1,551.19 / $1,551.19	Professional		$1,181.15	$1,551.19	$1,551.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $969.19 / $969.19 / $1,372.45	Facility		$969.19	$969.19	$1,372.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.51 / $707.51 / $1,591.13	Professional		$707.51	$707.51	$1,591.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,262.65 / $1,372.45 / $2,607.66	Professional		$1,262.65	$1,372.45	$2,607.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $638.39 / $638.39 / $2,470.57	Facility		$638.39	$638.39	$2,470.57
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $537.09 / $718.47 / $892.99	Professional		$537.09	$718.47	$892.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,701.70 / $1,956.90 / $2,704.00	Professional		$1,701.70	$1,956.90	$2,704.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $969.19 / $969.19 / $1,372.45	Facility		$969.19	$969.19	$1,372.45
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $707.51 / $707.51 / $1,607.04	Professional		$707.51	$707.51	$1,607.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,109.03 / $1,476.44 / $1,476.44	Facility		$1,109.03	$1,476.44	$1,476.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,109.03 / $1,476.44 / $1,476.44	Professional		$1,109.03	$1,476.44	$1,476.44
United Facility/Professional Professional Modifier Low / Median / High Price $580.30 / $773.87 / $1,289.78	Professional		$580.30	$773.87	$1,289.78