Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.56 / $788.56 / $1,251.83	Facility		$788.56	$788.56	$1,251.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.38 / $985.70 / $1,048.94	Professional		$51.38	$985.70	$1,048.94
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 $1,224.52 / $1,608.14 / $1,608.14	Professional		$1,224.52	$1,608.14	$1,608.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $120.00 / $120.00	Facility		$120.00	$120.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $102.00 / $125.77	Professional		$102.00	$102.00	$125.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.49 / $1,608.14 / $3,055.47	Professional		$1,479.49	$1,608.14	$3,055.47
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $788.56 / $788.56 / $1,251.83	Facility		$788.56	$788.56	$1,251.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $51.38 / $985.70 / $1,251.83	Professional		$51.38	$985.70	$1,251.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,605.10 / $3,168.30 / $3,168.30	Professional		$2,605.10	$3,168.30	$3,168.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $120.00 / $120.00	Facility		$120.00	$120.00	$120.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $102.00 / $1,910.25	Professional		$102.00	$102.00	$1,910.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $137.41 / $1,530.65 / $1,530.65	Facility		$137.41	$1,530.65	$1,530.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $137.41 / $1,530.65 / $1,568.24	Professional		$137.41	$1,530.65	$1,568.24
United Facility/Professional Professional Modifier Low / Median / High Price $57.60 / $79.92 / $218.63	Professional		$57.60	$79.92	$218.63