Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $403.55 / $403.55 / $1,561.74	Facility		$403.55	$403.55	$1,561.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.32 / $446.48 / $506.58	Professional		$401.32	$446.48	$506.58
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 $746.65 / $980.56 / $980.56	Professional		$746.65	$980.56	$980.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $579.51 / $579.51 / $1,037.89	Facility		$579.51	$579.51	$1,037.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.04 / $423.04 / $908.81	Professional		$423.04	$423.04	$908.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $954.86 / $1,037.89 / $1,971.99	Professional		$954.86	$1,037.89	$1,971.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $403.55 / $403.55 / $1,561.74	Facility		$403.55	$403.55	$1,561.74
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $361.68 / $446.48 / $730.42	Professional		$361.68	$446.48	$730.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $482.60 / $1,479.90 / $2,044.80	Professional		$482.60	$1,479.90	$2,044.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $579.51 / $579.51 / $1,037.89	Facility		$579.51	$579.51	$1,037.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $423.04 / $423.04 / $995.63	Professional		$423.04	$423.04	$995.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $701.07 / $933.31 / $933.31	Facility		$701.07	$933.31	$933.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $701.07 / $933.31 / $987.88	Professional		$701.07	$933.31	$987.88
United Facility/Professional Professional Modifier Low / Median / High Price $366.88 / $489.19 / $884.29	Professional		$366.88	$489.19	$884.29