Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $520.64 / $520.64 / $2,014.88	Facility		$520.64	$520.64	$2,014.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.07 / $576.02 / $733.82	Professional		$495.07	$576.02	$733.82
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 $963.29 / $1,265.07 / $1,265.07	Professional		$963.29	$1,265.07	$1,265.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $723.52 / $723.52 / $1,265.07	Facility		$723.52	$723.52	$1,265.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.16 / $528.16 / $1,107.74	Professional		$528.16	$528.16	$1,107.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,163.85 / $1,265.07 / $2,403.63	Professional		$1,163.85	$1,265.07	$2,403.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $520.64 / $520.64 / $2,014.88	Facility		$520.64	$520.64	$2,014.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $495.07 / $609.26 / $942.35	Professional		$495.07	$609.26	$942.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,539.25 / $1,803.80 / $2,492.40	Professional		$1,539.25	$1,803.80	$2,492.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $723.52 / $723.52 / $1,265.07	Facility		$723.52	$723.52	$1,265.07
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $528.16 / $528.16 / $1,502.63	Professional		$528.16	$528.16	$1,502.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $904.48 / $1,204.10 / $1,204.10	Facility		$904.48	$1,204.10	$1,204.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $904.48 / $1,204.10 / $1,233.68	Professional		$904.48	$1,204.10	$1,233.68
United Facility/Professional Professional Modifier Low / Median / High Price $478.11 / $641.30 / $1,139.72	Professional		$478.11	$641.30	$1,139.72