Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $403.80 / $470.44 / $1,359.00	Facility		$403.80	$470.44	$1,359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.60 / $412.30 / $551.39	Professional		$399.60	$412.30	$551.39
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 $317.76 / $373.84 / $373.84	Professional		$317.76	$373.84	$373.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.09 / $530.71 / $810.98	Professional		$397.09	$530.71	$810.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $961.11 / $961.11 / $961.11	Professional		$961.11	$961.11	$961.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $470.44 / $470.44 / $1,812.00	Facility		$470.44	$470.44	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $361.30 / $406.60 / $493.93	Professional		$361.30	$406.60	$493.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $622.00 / $622.00 / $622.00	Professional		$622.00	$622.00	$622.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $409.39 / $549.25 / $973.18	Professional		$409.39	$549.25	$973.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $367.61 / $367.61 / $367.61	Facility		$367.61	$367.61	$367.61
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $367.61 / $367.61 / $367.61	Professional		$367.61	$367.61	$367.61
United Facility/Professional Professional Modifier Low / Median / High Price $393.09 / $506.26 / $837.58	Professional		$393.09	$506.26	$837.58