Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $509.54 / $509.54 / $1,971.92	Facility		$509.54	$509.54	$1,971.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $424.08 / $539.51 / $683.21	Professional		$424.08	$539.51	$683.21
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 $868.81 / $1,140.99 / $1,140.99	Professional		$868.81	$1,140.99	$1,140.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.29 / $875.29 / $1,083.67	Facility		$875.29	$875.29	$1,083.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $638.96 / $638.96 / $948.90	Professional		$638.96	$638.96	$948.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $996.98 / $1,083.67 / $2,058.96	Professional		$996.98	$1,083.67	$2,058.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $509.54 / $509.54 / $1,971.92	Facility		$509.54	$509.54	$1,971.92
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $424.08 / $549.73 / $927.36	Professional		$424.08	$549.73	$927.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $734.00 / $1,478.00 / $2,135.00	Professional		$734.00	$1,478.00	$2,135.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $875.29 / $875.29 / $1,083.67	Facility		$875.29	$875.29	$1,083.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $638.96 / $638.96 / $1,568.63	Professional		$638.96	$638.96	$1,568.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $545.22 / $545.22 / $1,086.01	Facility		$545.22	$545.22	$1,086.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $545.22 / $1,086.01 / $1,107.73	Professional		$545.22	$1,086.01	$1,107.73
United Facility/Professional Professional Modifier Low / Median / High Price $523.76 / $669.02 / $1,028.95	Professional		$523.76	$669.02	$1,028.95