Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $564.33 / $564.33 / $2,183.96	Facility		$564.33	$564.33	$2,183.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.85 / $597.53 / $771.44	Professional		$478.85	$597.53	$771.44
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 $962.24 / $1,263.69 / $1,263.69	Professional		$962.24	$1,263.69	$1,263.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $702.38 / $702.38 / $1,223.61	Facility		$702.38	$702.38	$1,223.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.74 / $512.74 / $1,071.44	Professional		$512.74	$512.74	$1,071.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,125.73 / $1,223.61 / $2,324.88	Professional		$1,125.73	$1,223.61	$2,324.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $564.33 / $564.33 / $2,183.96	Facility		$564.33	$564.33	$2,183.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $477.62 / $597.53 / $1,027.08	Professional		$477.62	$597.53	$1,027.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $828.70 / $1,668.80 / $2,410.69	Professional		$828.70	$1,668.80	$2,410.69
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $702.38 / $702.38 / $1,223.61	Facility		$702.38	$702.38	$1,223.61
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $512.74 / $512.74 / $1,569.00	Professional		$512.74	$512.74	$1,569.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $603.86 / $603.86 / $1,202.80	Facility		$603.86	$603.86	$1,202.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $603.86 / $1,202.80 / $1,226.85	Professional		$603.86	$1,202.80	$1,226.85
United Facility/Professional Professional Modifier Low / Median / High Price $569.80 / $685.08 / $1,104.11	Professional		$569.80	$685.08	$1,104.11