Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $514.73 / $514.73 / $1,992.01	Facility		$514.73	$514.73	$1,992.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.36 / $545.01 / $768.42	Professional		$474.36	$545.01	$768.42
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 $877.66 / $1,152.61 / $1,152.61	Professional		$877.66	$1,152.61	$1,152.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.21 / $812.21 / $1,235.28	Facility		$812.21	$812.21	$1,235.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $592.91 / $592.91 / $1,081.66	Professional		$592.91	$592.91	$1,081.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,136.46 / $1,235.28 / $2,347.03	Professional		$1,136.46	$1,235.28	$2,347.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $514.73 / $514.73 / $1,992.01	Facility		$514.73	$514.73	$1,992.01
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $474.36 / $562.80 / $936.81	Professional		$474.36	$562.80	$936.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $836.70 / $1,684.80 / $2,433.69	Professional		$836.70	$1,684.80	$2,433.69
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $812.21 / $812.21 / $1,235.28	Facility		$812.21	$812.21	$1,235.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $592.91 / $592.91 / $1,336.13	Professional		$592.91	$592.91	$1,336.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $550.78 / $550.78 / $1,097.08	Facility		$550.78	$550.78	$1,097.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $550.78 / $1,097.08 / $1,175.76	Professional		$550.78	$1,097.08	$1,175.76
United Facility/Professional Professional Modifier Low / Median / High Price $539.11 / $622.95 / $1,039.44	Professional		$539.11	$622.95	$1,039.44