Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.75 / $524.75 / $2,030.78	Facility		$524.75	$524.75	$2,030.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.35 / $602.90 / $805.94	Professional		$512.35	$602.90	$805.94
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 $970.90 / $1,275.06 / $1,275.06	Professional		$970.90	$1,275.06	$1,275.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,057.34 / $1,057.34 / $1,309.22	Facility		$1,057.34	$1,057.34	$1,309.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $771.87 / $771.87 / $1,146.40	Professional		$771.87	$771.87	$1,146.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,204.48 / $1,309.22 / $2,487.52	Professional		$1,204.48	$1,309.22	$2,487.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $524.75 / $524.75 / $2,030.78	Facility		$524.75	$524.75	$2,030.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $512.35 / $602.90 / $898.95	Professional		$512.35	$602.90	$898.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $886.70 / $1,785.60 / $2,579.40	Professional		$886.70	$1,785.60	$2,579.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,057.34 / $1,057.34 / $1,309.22	Facility		$1,057.34	$1,057.34	$1,309.22
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $771.87 / $771.87 / $1,739.63	Professional		$771.87	$771.87	$1,739.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $911.62 / $1,213.61 / $1,213.61	Facility		$911.62	$1,213.61	$1,213.61
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $911.62 / $1,213.61 / $1,428.21	Professional		$911.62	$1,213.61	$1,428.21
United Facility/Professional Professional Modifier Low / Median / High Price $530.10 / $642.48 / $1,114.05	Professional		$530.10	$642.48	$1,114.05