Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $564.78 / $564.78 / $2,185.69	Facility		$564.78	$564.78	$2,185.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.04 / $624.86 / $865.19	Professional		$537.04	$624.86	$865.19
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 $1,044.95 / $1,372.31 / $1,372.31	Professional		$1,044.95	$1,372.31	$1,372.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $907.46 / $907.46 / $1,372.31	Facility		$907.46	$907.46	$1,372.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.45 / $662.45 / $1,201.65	Professional		$662.45	$662.45	$1,201.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,262.53 / $1,372.31 / $2,607.39	Professional		$1,262.53	$1,372.31	$2,607.39
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $564.78 / $564.78 / $2,185.69	Facility		$564.78	$564.78	$2,185.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $537.04 / $660.91 / $2,043.37	Professional		$537.04	$660.91	$2,043.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,701.50 / $1,956.70 / $2,703.70	Professional		$1,701.50	$1,956.70	$2,703.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $907.46 / $907.46 / $1,372.31	Facility		$907.46	$907.46	$1,372.31
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $662.45 / $662.45 / $1,630.13	Professional		$662.45	$662.45	$1,630.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $981.15 / $1,306.19 / $1,306.19	Facility		$981.15	$1,306.19	$1,306.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $981.15 / $1,306.19 / $1,338.28	Professional		$981.15	$1,306.19	$1,338.28
United Facility/Professional Professional Modifier Low / Median / High Price $525.20 / $695.67 / $1,237.56	Professional		$525.20	$695.67	$1,237.56