Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,040.93 / $2,367.29 / $2,793.41	Facility		$1,040.93	$2,367.29	$2,793.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.91 / $574.91 / $574.91	Professional		$574.91	$574.91	$574.91
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 $527.57 / $527.57 / $527.57	Professional		$527.57	$527.57	$527.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $641.87 / $999.35 / $2,244.92	Facility		$641.87	$999.35	$2,244.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,260.10 / $3,260.10 / $3,260.10	Professional		$3,260.10	$3,260.10	$3,260.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $710.19 / $913.10 / $1,670.63	Professional		$710.19	$913.10	$1,670.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,839.19 / $2,793.41 / $2,793.41	Facility		$1,839.19	$2,793.41	$2,793.41
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $574.91 / $2,793.41 / $2,793.41	Professional		$574.91	$2,793.41	$2,793.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,001.03 / $1,014.55 / $1,352.74	Professional		$1,001.03	$1,014.55	$1,352.74
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $658.34 / $1,046.95 / $2,244.92	Facility		$658.34	$1,046.95	$2,244.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,260.10 / $3,260.10 / $3,260.10	Professional		$3,260.10	$3,260.10	$3,260.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $676.37 / $676.37 / $744.01	Facility		$676.37	$676.37	$744.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $676.37 / $676.37 / $744.01	Professional		$676.37	$676.37	$744.01
United Facility/Professional Professional Modifier Low / Median / High Price $284.08 / $405.82 / $1,224.50	Professional		$284.08	$405.82	$1,224.50