Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.64 / $489.64 / $1,894.91	Facility		$489.64	$489.64	$1,894.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $486.94 / $562.55 / $723.94	Professional		$486.94	$562.55	$723.94
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 $905.93 / $1,189.73 / $1,189.73	Professional		$905.93	$1,189.73	$1,189.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.02 / $714.02 / $1,288.53	Facility		$714.02	$714.02	$1,288.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $521.23 / $521.23 / $1,128.28	Professional		$521.23	$521.23	$1,128.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,185.45 / $1,288.53 / $2,448.21	Professional		$1,185.45	$1,288.53	$2,448.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $489.64 / $489.64 / $1,894.91	Facility		$489.64	$489.64	$1,894.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $473.44 / $562.55 / $812.36	Professional		$473.44	$562.55	$812.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $872.70 / $1,757.40 / $2,538.60	Professional		$872.70	$1,757.40	$2,538.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $714.02 / $714.02 / $1,288.53	Facility		$714.02	$714.02	$1,288.53
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $521.23 / $521.23 / $1,562.63	Professional		$521.23	$521.23	$1,562.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $850.62 / $1,132.41 / $1,132.41	Facility		$850.62	$1,132.41	$1,132.41
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $850.62 / $1,132.41 / $1,282.90	Professional		$850.62	$1,132.41	$1,282.90
United Facility/Professional Professional Modifier Low / Median / High Price $475.06 / $599.49 / $1,039.50	Professional		$475.06	$599.49	$1,039.50