Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.31 / $499.31 / $1,932.33	Facility		$499.31	$499.31	$1,932.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.56 / $568.54 / $745.76	Professional		$496.56	$568.54	$745.76
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 $923.83 / $1,213.25 / $1,213.25	Professional		$923.83	$1,213.25	$1,213.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $680.86 / $680.86 / $1,446.17	Facility		$680.86	$680.86	$1,446.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $497.03 / $497.03 / $1,272.14	Professional		$497.03	$497.03	$1,272.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,336.59 / $1,452.82 / $2,760.36	Professional		$1,336.59	$1,452.82	$2,760.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $499.31 / $499.31 / $1,932.33	Facility		$499.31	$499.31	$1,932.33
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $494.59 / $573.66 / $915.94	Professional		$494.59	$573.66	$915.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $984.00 / $1,981.40 / $2,862.30	Professional		$984.00	$1,981.40	$2,862.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $680.86 / $680.86 / $1,446.17	Facility		$680.86	$680.86	$1,446.17
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $497.03 / $497.03 / $1,609.50	Professional		$497.03	$497.03	$1,609.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $867.43 / $1,154.79 / $1,154.79	Facility		$867.43	$1,154.79	$1,154.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $867.43 / $1,154.79 / $1,382.82	Professional		$867.43	$1,154.79	$1,382.82
United Facility/Professional Facility Modifier Low / Median / High Price $418.83 / $538.75 / $818.03	Facility		$418.83	$538.75	$818.03
United Facility/Professional Professional Modifier Low / Median / High Price $413.60 / $611.33 / $1,060.04	Professional		$413.60	$611.33	$1,060.04