Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $646.00 / $2,622.46 / $3,178.52	Facility		$646.00	$2,622.46	$3,178.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.00 / $615.60 / $646.00	Professional		$456.00	$615.60	$646.00
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 $592.79 / $592.79 / $592.79	Professional		$592.79	$592.79	$592.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $721.24 / $1,122.70 / $2,522.01	Facility		$721.24	$1,122.70	$2,522.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,663.20 / $3,663.20 / $3,663.20	Professional		$3,663.20	$3,663.20	$3,663.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $798.00 / $1,026.00 / $1,877.20	Professional		$798.00	$1,026.00	$1,877.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $782.80 / $2,157.64 / $3,138.80	Facility		$782.80	$2,157.64	$3,138.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $498.79 / $646.00 / $3,138.80	Professional		$498.79	$646.00	$3,138.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,124.80 / $1,140.00 / $1,520.00	Professional		$1,124.80	$1,140.00	$1,520.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $739.88 / $1,176.63 / $2,522.01	Facility		$739.88	$1,176.63	$2,522.01
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,663.20 / $3,663.20 / $3,663.20	Professional		$3,663.20	$3,663.20	$3,663.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $760.00 / $836.00	Facility		$760.00	$760.00	$836.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $760.00 / $836.00	Professional		$760.00	$760.00	$836.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $456.00 / $1,064.00	Professional		$319.20	$456.00	$1,064.00