Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $2,070.36 / $2,509.36	Facility		$510.00	$2,070.36	$2,509.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.81 / $486.00 / $510.00	Professional		$180.81	$486.00	$510.00
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 $468.00 / $468.00 / $468.00	Professional		$468.00	$468.00	$468.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $569.40 / $798.99 / $1,990.66	Facility		$569.40	$798.99	$1,990.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,892.00 / $2,892.00 / $2,892.00	Professional		$2,892.00	$2,892.00	$2,892.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $630.00 / $810.00 / $1,482.00	Professional		$630.00	$810.00	$1,482.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $618.00 / $1,703.40 / $2,478.00	Facility		$618.00	$1,703.40	$2,478.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $204.92 / $510.00 / $2,478.00	Professional		$204.92	$510.00	$2,478.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $888.00 / $900.00 / $1,200.00	Professional		$888.00	$900.00	$1,200.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $571.97 / $798.99 / $1,990.66	Facility		$571.97	$798.99	$1,990.66
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,892.00 / $2,892.00 / $2,892.00	Professional		$2,892.00	$2,892.00	$2,892.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $660.00	Facility		$600.00	$600.00	$660.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $660.00	Professional		$600.00	$600.00	$660.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $180.81 / $545.55	Professional		$126.57	$180.81	$545.55