Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.24 / $642.24 / $2,485.46	Facility		$642.24	$642.24	$2,485.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $558.24 / $710.56 / $954.08	Professional		$558.24	$710.56	$954.08
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 $1,188.27 / $1,560.54 / $1,560.54	Professional		$1,188.27	$1,560.54	$1,560.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.35 / $891.35 / $1,426.48	Facility		$891.35	$891.35	$1,426.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $650.69 / $650.69 / $1,251.54	Professional		$650.69	$650.69	$1,251.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,312.36 / $1,426.48 / $2,710.31	Professional		$1,312.36	$1,426.48	$2,710.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $642.24 / $642.24 / $2,485.46	Facility		$642.24	$642.24	$2,485.46
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $558.24 / $737.89 / $1,138.03	Professional		$558.24	$737.89	$1,138.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $966.10 / $1,945.50 / $2,810.40	Professional		$966.10	$1,945.50	$2,810.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $891.35 / $891.35 / $1,426.48	Facility		$891.35	$891.35	$1,426.48
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $650.69 / $650.69 / $2,059.13	Professional		$650.69	$650.69	$2,059.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $745.71 / $745.71 / $1,485.34	Facility		$745.71	$745.71	$1,485.34
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $745.71 / $1,485.34 / $1,515.05	Professional		$745.71	$1,485.34	$1,515.05
United Facility/Professional Professional Modifier Low / Median / High Price $603.15 / $781.82 / $1,320.22	Professional		$603.15	$781.82	$1,320.22