Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.92 / $467.92 / $1,810.85	Facility		$467.92	$467.92	$1,810.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.80 / $505.37 / $629.79	Professional		$415.80	$505.37	$629.79
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 $865.76 / $1,136.99 / $1,136.99	Professional		$865.76	$1,136.99	$1,136.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $567.88 / $567.88 / $1,198.52	Facility		$567.88	$567.88	$1,198.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.55 / $414.55 / $1,359.38	Professional		$414.55	$414.55	$1,359.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,114.80 / $1,211.74 / $2,302.31	Professional		$1,114.80	$1,211.74	$2,302.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $467.92 / $467.92 / $1,810.85	Facility		$467.92	$467.92	$1,810.85
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $412.51 / $517.70 / $763.95	Professional		$412.51	$517.70	$763.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $820.70 / $1,652.60 / $2,387.30	Professional		$820.70	$1,652.60	$2,387.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $567.88 / $567.88 / $1,198.52	Facility		$567.88	$567.88	$1,198.52
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $414.55 / $414.55 / $1,359.38	Professional		$414.55	$414.55	$1,359.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $812.89 / $1,082.20 / $1,082.20	Facility		$812.89	$1,082.20	$1,082.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $812.89 / $1,082.20 / $1,153.34	Professional		$812.89	$1,082.20	$1,153.34
United Facility/Professional Professional Modifier Low / Median / High Price $384.26 / $567.23 / $945.38	Professional		$384.26	$567.23	$945.38