Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.17 / $435.17 / $1,684.11	Facility		$435.17	$435.17	$1,684.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.26 / $484.30 / $624.38	Professional		$428.26	$484.30	$624.38
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 $805.15 / $1,057.39 / $1,057.39	Professional		$805.15	$1,057.39	$1,057.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $751.98 / $751.98 / $1,237.57	Facility		$751.98	$751.98	$1,237.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $548.95 / $548.95 / $1,347.75	Professional		$548.95	$548.95	$1,347.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,138.56 / $1,237.57 / $2,351.38	Professional		$1,138.56	$1,237.57	$2,351.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $435.17 / $435.17 / $1,684.11	Facility		$435.17	$435.17	$1,684.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $428.02 / $499.98 / $780.23	Professional		$428.02	$499.98	$780.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $838.20 / $1,687.90 / $2,438.19	Professional		$838.20	$1,687.90	$2,438.19
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $751.98 / $751.98 / $1,237.57	Facility		$751.98	$751.98	$1,237.57
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $548.95 / $548.95 / $1,347.75	Professional		$548.95	$548.95	$1,347.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $505.27 / $505.27 / $1,006.44	Facility		$505.27	$505.27	$1,006.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $505.27 / $1,006.44 / $1,177.93	Professional		$505.27	$1,006.44	$1,177.93
United Facility/Professional Facility Modifier Low / Median / High Price $373.00 / $479.78 / $633.41	Facility		$373.00	$479.78	$633.41
United Facility/Professional Professional Modifier Low / Median / High Price $410.29 / $564.79 / $953.57	Professional		$410.29	$564.79	$953.57