Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $777.76 / $2,326.00 / $7,629.00	Facility		$777.76	$2,326.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $679.82 / $743.07 / $1,062.46	Professional		$679.82	$743.07	$1,062.46
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 $749.43 / $914.42 / $1,269.43	Professional		$749.43	$914.42	$1,269.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $853.55 / $853.55 / $853.55	Facility		$853.55	$853.55	$853.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $723.57 / $920.26 / $1,511.30	Professional		$723.57	$920.26	$1,511.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $875.45 / $1,191.58 / $1,512.13	Professional		$875.45	$1,191.58	$1,512.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $777.76 / $2,266.00 / $8,017.00	Facility		$777.76	$2,266.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $679.82 / $777.76 / $3,657.61	Professional		$679.82	$777.76	$3,657.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,510.40 / $1,878.90 / $1,878.90	Professional		$1,510.40	$1,878.90	$1,878.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $853.55 / $853.55 / $853.55	Facility		$853.55	$853.55	$853.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $723.57 / $936.70 / $1,515.92	Professional		$723.57	$936.70	$1,515.92
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $734.72 / $734.72 / $803.04	Facility		$734.72	$734.72	$803.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $706.77 / $743.91 / $803.04	Professional		$706.77	$743.91	$803.04
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $712.77 / $925.69 / $1,396.24	Professional		$712.77	$925.69	$1,396.24