Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $757.51 / $1,416.54 / $2,639.00	Facility		$757.51	$1,416.54	$2,639.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $626.41 / $710.09 / $1,047.90	Professional		$626.41	$710.09	$1,047.90
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 $782.24 / $811.76 / $1,338.90	Professional		$782.24	$811.76	$1,338.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.85 / $1,041.24 / $2,283.48	Facility		$400.85	$1,041.24	$2,283.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.27 / $848.66 / $1,365.96	Professional		$627.27	$848.66	$1,365.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $753.33 / $1,006.13 / $1,222.34	Professional		$753.33	$1,006.13	$1,222.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $757.51 / $1,446.40 / $2,643.71	Facility		$757.51	$1,446.40	$2,643.71
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $626.41 / $726.92 / $2,992.16	Professional		$626.41	$726.92	$2,992.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $511.43 / $868.44 / $1,501.10	Professional		$511.43	$868.44	$1,501.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $367.69 / $1,041.24 / $2,283.48	Facility		$367.69	$1,041.24	$2,283.48
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $630.25 / $882.83 / $1,389.02	Professional		$630.25	$882.83	$1,389.02
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $635.00 / $750.53 / $773.62	Facility		$635.00	$750.53	$773.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $635.00 / $750.53 / $800.20	Professional		$635.00	$750.53	$800.20
United Facility/Professional Professional Modifier Low / Median / High Price $621.46 / $835.15 / $1,392.74	Professional		$621.46	$835.15	$1,392.74