Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $548.89 / $548.89 / $2,124.19	Facility		$548.89	$548.89	$2,124.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $545.87 / $607.29 / $754.08	Professional		$545.87	$607.29	$754.08
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 $1,015.57 / $1,333.73 / $1,333.73	Professional		$1,015.57	$1,333.73	$1,333.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $752.15 / $752.15 / $1,460.86	Facility		$752.15	$752.15	$1,460.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.07 / $549.07 / $1,605.75	Professional		$549.07	$549.07	$1,605.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,343.99 / $1,460.86 / $2,775.63	Professional		$1,343.99	$1,460.86	$2,775.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $548.89 / $548.89 / $2,124.19	Facility		$548.89	$548.89	$2,124.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $498.72 / $630.64 / $921.01	Professional		$498.72	$630.64	$921.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $989.40 / $1,992.40 / $2,878.20	Professional		$989.40	$1,992.40	$2,878.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $752.15 / $752.15 / $1,460.86	Facility		$752.15	$752.15	$1,460.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $549.07 / $549.07 / $1,605.75	Professional		$549.07	$549.07	$1,605.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $953.56 / $1,269.46 / $1,269.46	Facility		$953.56	$1,269.46	$1,269.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $953.56 / $1,269.46 / $1,390.47	Professional		$953.56	$1,269.46	$1,390.47
United Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $668.18 / $1,114.00	Professional		$508.96	$668.18	$1,114.00