Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.52 / $497.52 / $1,925.40	Facility		$497.52	$497.52	$1,925.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $497.52 / $576.22 / $806.98	Professional		$497.52	$576.22	$806.98
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 $920.52 / $1,208.89 / $1,208.89	Professional		$920.52	$1,208.89	$1,208.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $755.39 / $755.39 / $1,472.46	Facility		$755.39	$755.39	$1,472.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.42 / $551.42 / $1,289.33	Professional		$551.42	$551.42	$1,289.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,354.66 / $1,472.46 / $2,797.67	Professional		$1,354.66	$1,472.46	$2,797.67
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $497.52 / $497.52 / $1,925.40	Facility		$497.52	$497.52	$1,925.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $497.52 / $576.22 / $979.53	Professional		$497.52	$576.22	$979.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $997.30 / $1,837.10 / $2,901.00	Professional		$997.30	$1,837.10	$2,901.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $755.39 / $755.39 / $1,472.46	Facility		$755.39	$755.39	$1,472.46
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $551.42 / $551.42 / $1,741.88	Professional		$551.42	$551.42	$1,741.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $864.30 / $1,150.65 / $1,150.65	Facility		$864.30	$1,150.65	$1,150.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $864.30 / $1,150.65 / $1,430.05	Professional		$864.30	$1,150.65	$1,430.05
United Facility/Professional Professional Modifier Low / Median / High Price $499.17 / $609.73 / $1,090.19	Professional		$499.17	$609.73	$1,090.19