Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $471.65 / $471.65 / $499.39	Facility		$471.65	$471.65	$499.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.57 / $471.65 / $562.95	Professional		$336.57	$471.65	$562.95
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 $804.21 / $1,056.15 / $1,056.15	Professional		$804.21	$1,056.15	$1,056.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $703.94 / $703.94 / $912.16	Facility		$703.94	$703.94	$912.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $598.35 / $598.35 / $798.72	Professional		$598.35	$598.35	$798.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $839.19 / $912.16 / $1,733.10	Professional		$839.19	$912.16	$1,733.10
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $471.65 / $471.65 / $471.65	Facility		$471.65	$471.65	$471.65
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $335.20 / $471.65 / $589.55	Professional		$335.20	$471.65	$589.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $617.79 / $1,244.09 / $1,797.10	Professional		$617.79	$1,244.09	$1,797.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $703.94 / $703.94 / $912.16	Facility		$703.94	$703.94	$912.16
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $598.35 / $598.35 / $921.00	Professional		$598.35	$598.35	$921.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $487.38 / $487.38 / $1,005.26	Facility		$487.38	$487.38	$1,005.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $487.38 / $868.21 / $1,005.26	Professional		$487.38	$868.21	$1,005.26
United Facility/Professional Professional Modifier Low / Median / High Price $455.06 / $570.80 / $878.17	Professional		$455.06	$570.80	$878.17