Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.49 / $575.49 / $2,227.15	Facility		$575.49	$575.49	$2,227.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.31 / $629.24 / $835.12	Professional		$504.31	$629.24	$835.12
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 $981.27 / $1,288.69 / $1,288.69	Professional		$981.27	$1,288.69	$1,288.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $908.11 / $908.11 / $1,288.69	Facility		$908.11	$908.11	$1,288.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.92 / $662.92 / $1,494.00	Professional		$662.92	$662.92	$1,494.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,185.58 / $1,288.69 / $2,448.51	Professional		$1,185.58	$1,288.69	$2,448.51
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $575.49 / $575.49 / $2,227.15	Facility		$575.49	$575.49	$2,227.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $504.31 / $631.91 / $1,047.39	Professional		$504.31	$631.91	$1,047.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $872.80 / $1,757.60 / $2,538.90	Professional		$872.80	$1,757.60	$2,538.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $908.11 / $908.11 / $1,288.69	Facility		$908.11	$908.11	$1,288.69
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $662.92 / $662.92 / $1,494.00	Professional		$662.92	$662.92	$1,494.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $615.79 / $615.79 / $1,226.58	Facility		$615.79	$615.79	$1,226.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $615.79 / $1,226.58 / $1,226.58	Professional		$615.79	$1,226.58	$1,226.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,460.51 / $1,718.25 / $2,061.90	Facility		$1,460.51	$1,718.25	$2,061.90
United Facility/Professional Professional Modifier Low / Median / High Price $605.16 / $755.09 / $1,192.54	Professional		$605.16	$755.09	$1,192.54