Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $740.34 / $2,591.19 / $3,822.59	Facility		$740.34	$2,591.19	$3,822.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $719.07 / $740.34 / $3,199.00	Professional		$719.07	$740.34	$3,199.00
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 $712.92 / $712.92 / $712.92	Professional		$712.92	$712.92	$712.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $611.91 / $1,217.13 / $2,673.45	Facility		$611.91	$1,217.13	$2,673.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $481.28 / $1,031.77 / $2,066.96	Professional		$481.28	$1,031.77	$2,066.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $420.44 / $731.20 / $1,544.66	Professional		$420.44	$731.20	$1,544.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $776.90 / $2,591.19 / $3,774.82	Facility		$776.90	$2,591.19	$3,774.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $676.36 / $749.48 / $3,774.82	Professional		$676.36	$749.48	$3,774.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,352.72 / $1,371.00 / $1,828.00	Professional		$1,352.72	$1,371.00	$1,828.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $638.66 / $1,414.96 / $3,032.71	Facility		$638.66	$1,414.96	$3,032.71
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $677.90 / $1,031.77 / $2,066.96	Professional		$677.90	$1,031.77	$2,066.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $914.00 / $914.00 / $1,005.40	Facility		$914.00	$914.00	$1,005.40
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $914.00 / $914.00 / $1,005.40	Professional		$914.00	$914.00	$1,005.40
United Facility/Professional Professional Modifier Low / Median / High Price $383.88 / $548.40 / $1,371.00	Professional		$383.88	$548.40	$1,371.00