Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.09 / $645.09 / $2,496.50	Facility		$645.09	$645.09	$2,496.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $565.29 / $683.04 / $971.62	Professional		$565.29	$683.04	$971.62
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 $1,099.94 / $1,444.54 / $1,444.54	Professional		$1,099.94	$1,444.54	$1,444.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $902.63 / $902.63 / $1,444.54	Facility		$902.63	$902.63	$1,444.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.92 / $658.92 / $1,264.89	Professional		$658.92	$658.92	$1,264.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,328.98 / $1,444.54 / $2,744.63	Professional		$1,328.98	$1,444.54	$2,744.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $645.09 / $645.09 / $2,496.50	Facility		$645.09	$645.09	$2,496.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $565.29 / $708.34 / $1,174.06	Professional		$565.29	$708.34	$1,174.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $978.40 / $1,970.20 / $2,846.00	Professional		$978.40	$1,970.20	$2,846.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $902.63 / $902.63 / $1,444.54	Facility		$902.63	$902.63	$1,444.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $658.92 / $658.92 / $2,232.75	Professional		$658.92	$658.92	$2,232.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $690.28 / $690.28 / $1,374.93	Facility		$690.28	$690.28	$1,374.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $690.28 / $1,374.93 / $1,402.43	Professional		$690.28	$1,374.93	$1,402.43
United Facility/Professional Professional Modifier Low / Median / High Price $651.35 / $866.72 / $1,336.73	Professional		$651.35	$866.72	$1,336.73