Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.76 / $456.76 / $1,767.66	Facility		$456.76	$456.76	$1,767.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.76 / $524.79 / $579.26	Professional		$456.76	$524.79	$579.26
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 $845.10 / $1,109.85 / $1,109.85	Professional		$845.10	$1,109.85	$1,109.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $740.83 / $740.83 / $1,376.37	Facility		$740.83	$740.83	$1,376.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.80 / $540.80 / $1,216.16	Professional		$540.80	$540.80	$1,216.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,277.78 / $1,388.89 / $2,638.89	Professional		$1,277.78	$1,388.89	$2,638.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $456.76 / $456.76 / $1,767.66	Facility		$456.76	$456.76	$1,767.66
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $456.76 / $534.51 / $875.64	Professional		$456.76	$534.51	$875.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $940.70 / $1,808.20 / $2,736.40	Professional		$940.70	$1,808.20	$2,736.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $740.83 / $740.83 / $1,376.37	Facility		$740.83	$740.83	$1,376.37
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $540.80 / $540.80 / $1,218.75	Professional		$540.80	$540.80	$1,218.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $793.49 / $1,056.38 / $1,056.38	Facility		$793.49	$1,056.38	$1,056.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $793.49 / $1,056.38 / $1,321.97	Professional		$793.49	$1,056.38	$1,321.97
United Facility/Professional Professional Modifier Low / Median / High Price $433.07 / $553.69 / $923.87	Professional		$433.07	$553.69	$923.87