Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.99 / $408.99 / $1,582.79	Facility		$408.99	$408.99	$1,582.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.99 / $478.60 / $642.04	Professional		$408.99	$478.60	$642.04
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 $756.71 / $993.78 / $993.78	Professional		$756.71	$993.78	$993.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.97 / $620.97 / $1,296.06	Facility		$620.97	$620.97	$1,296.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.31 / $453.31 / $1,134.88	Professional		$453.31	$453.31	$1,134.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,192.38 / $1,296.06 / $2,462.51	Professional		$1,192.38	$1,296.06	$2,462.51
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $408.99 / $408.99 / $1,582.79	Facility		$408.99	$408.99	$1,582.79
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $408.99 / $478.60 / $919.20	Professional		$408.99	$478.60	$919.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $413.00 / $537.29 / $2,553.50	Professional		$413.00	$537.29	$2,553.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $620.97 / $620.97 / $1,296.06	Facility		$620.97	$620.97	$1,296.06
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $453.31 / $453.31 / $1,152.00	Professional		$453.31	$453.31	$1,152.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $710.51 / $945.89 / $945.89	Facility		$710.51	$945.89	$945.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $710.51 / $945.89 / $1,233.60	Professional		$710.51	$945.89	$1,233.60
United Facility/Professional Professional Modifier Low / Median / High Price $410.76 / $500.74 / $896.20	Professional		$410.76	$500.74	$896.20