Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.84 / $1,434.65 / $1,692.89	Facility		$630.84	$1,434.65	$1,692.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.39 / $273.27 / $298.91	Professional		$241.39	$273.27	$298.91
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 $319.72 / $319.72 / $319.72	Professional		$319.72	$319.72	$319.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.00 / $605.61 / $1,360.43	Facility		$389.00	$605.61	$1,360.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,975.72 / $1,975.72 / $1,975.72	Professional		$1,975.72	$1,975.72	$1,975.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $430.40 / $553.37 / $1,012.45	Professional		$430.40	$553.37	$1,012.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,114.59 / $1,692.89 / $1,692.89	Facility		$1,114.59	$1,692.89	$1,692.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $273.27 / $1,692.89 / $1,692.89	Professional		$273.27	$1,692.89	$1,692.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $606.65 / $614.85 / $819.80	Professional		$606.65	$614.85	$819.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $398.91 / $662.24 / $1,360.43	Facility		$398.91	$662.24	$1,360.43
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,975.72 / $1,975.72 / $1,975.72	Professional		$1,975.72	$1,975.72	$1,975.72
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $409.90 / $409.90 / $501.00	Facility		$409.90	$409.90	$501.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $409.90 / $409.90 / $501.00	Professional		$409.90	$409.90	$501.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.16 / $245.94 / $614.85	Professional		$172.16	$245.94	$614.85