Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $1,193.82 / $2,379.37	Facility		$652.00	$1,193.82	$2,379.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $566.08 / $653.69 / $1,033.59	Professional		$566.08	$653.69	$1,033.59
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 $645.64 / $670.00 / $1,747.92	Professional		$645.64	$670.00	$1,747.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.32 / $1,728.56 / $2,831.82	Facility		$741.32	$1,728.56	$2,831.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.44 / $790.31 / $1,404.26	Professional		$266.44	$790.31	$1,404.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $572.69 / $839.39 / $1,057.84	Professional		$572.69	$839.39	$1,057.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $1,193.82 / $2,478.81	Facility		$652.00	$1,193.82	$2,478.81
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $566.08 / $710.26 / $2,805.53	Professional		$566.08	$710.26	$2,805.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $103.33 / $920.66 / $1,401.88	Professional		$103.33	$920.66	$1,401.88
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $716.61 / $1,603.74 / $2,911.70	Facility		$716.61	$1,603.74	$2,911.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $266.44 / $793.86 / $1,528.77	Professional		$266.44	$793.86	$1,528.77
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $182.45 / $656.08 / $656.08	Facility		$182.45	$656.08	$656.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $656.08 / $718.29	Professional		$182.45	$656.08	$718.29
United Facility/Professional Professional Modifier Low / Median / High Price $516.65 / $749.23 / $1,255.79	Professional		$516.65	$749.23	$1,255.79