Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $564.91 / $564.91 / $2,186.23	Facility		$564.91	$564.91	$2,186.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.16 / $625.01 / $875.12	Professional		$537.16	$625.01	$875.12
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 $1,045.22 / $1,372.66 / $1,372.66	Professional		$1,045.22	$1,372.66	$1,372.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $857.71 / $857.71 / $1,372.66	Facility		$857.71	$857.71	$1,372.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $626.13 / $626.13 / $1,201.95	Professional		$626.13	$626.13	$1,201.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,262.84 / $1,372.66 / $2,608.05	Professional		$1,262.84	$1,372.66	$2,608.05
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $564.91 / $564.91 / $2,186.23	Facility		$564.91	$564.91	$2,186.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $537.16 / $656.74 / $1,066.06	Professional		$537.16	$656.74	$1,066.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $929.80 / $1,872.10 / $2,704.40	Professional		$929.80	$1,872.10	$2,704.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $857.71 / $857.71 / $1,372.66	Facility		$857.71	$857.71	$1,372.66
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $626.13 / $626.13 / $1,591.50	Professional		$626.13	$626.13	$1,591.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $981.40 / $1,306.52 / $1,306.52	Facility		$981.40	$1,306.52	$1,306.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $981.40 / $1,306.52 / $1,306.52	Professional		$981.40	$1,306.52	$1,306.52
United Facility/Professional Professional Modifier Low / Median / High Price $573.97 / $684.80 / $1,141.33	Professional		$573.97	$684.80	$1,141.33