Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $522.08 / $522.08 / $2,020.45	Facility		$522.08	$522.08	$2,020.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.20 / $577.62 / $700.98	Professional		$519.20	$577.62	$700.98
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 $965.96 / $1,268.57 / $1,268.57	Professional		$965.96	$1,268.57	$1,268.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $713.15 / $713.15 / $1,465.34	Facility		$713.15	$713.15	$1,465.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.60 / $520.60 / $1,283.10	Professional		$520.60	$520.60	$1,283.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.11 / $1,465.34 / $2,784.15	Professional		$1,348.11	$1,465.34	$2,784.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $522.08 / $522.08 / $2,020.45	Facility		$522.08	$522.08	$2,020.45
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $498.85 / $599.84 / $1,014.86	Professional		$498.85	$599.84	$1,014.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $992.50 / $1,998.50 / $2,887.00	Professional		$992.50	$1,998.50	$2,887.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $713.15 / $713.15 / $1,465.34	Facility		$713.15	$713.15	$1,465.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $520.60 / $520.60 / $1,513.13	Professional		$520.60	$520.60	$1,513.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $906.98 / $1,207.45 / $1,207.45	Facility		$906.98	$1,207.45	$1,207.45
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $906.98 / $1,207.45 / $1,394.74	Professional		$906.98	$1,207.45	$1,394.74
United Facility/Professional Professional Modifier Low / Median / High Price $477.22 / $653.98 / $1,305.08	Professional		$477.22	$653.98	$1,305.08