Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.28 / $488.28 / $1,889.64	Facility		$488.28	$488.28	$1,889.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.88 / $517.00 / $763.18	Professional		$427.88	$517.00	$763.18
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 $832.56 / $1,093.39 / $1,093.39	Professional		$832.56	$1,093.39	$1,093.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $719.79 / $719.79 / $1,093.39	Facility		$719.79	$719.79	$1,093.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.45 / $525.45 / $957.41	Professional		$525.45	$525.45	$957.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,005.92 / $1,093.39 / $2,077.44	Professional		$1,005.92	$1,093.39	$2,077.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $488.28 / $488.28 / $1,889.64	Facility		$488.28	$488.28	$1,889.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $427.88 / $536.15 / $888.67	Professional		$427.88	$536.15	$888.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $740.50 / $1,491.20 / $2,154.19	Professional		$740.50	$1,491.20	$2,154.19
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $719.79 / $719.79 / $1,093.39	Facility		$719.79	$719.79	$1,093.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $525.45 / $525.45 / $1,290.00	Professional		$525.45	$525.45	$1,290.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $522.48 / $522.48 / $1,040.70	Facility		$522.48	$522.48	$1,040.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $522.48 / $1,040.70 / $1,059.05	Professional		$522.48	$1,040.70	$1,059.05
United Facility/Professional Professional Modifier Low / Median / High Price $513.46 / $656.03 / $986.03	Professional		$513.46	$656.03	$986.03