Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.56 / $3,839.00 / $8,113.00	Facility		$864.56	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $589.89 / $694.79 / $864.56	Professional		$589.89	$694.79	$864.56
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 $755.26 / $783.76 / $1,292.83	Professional		$755.26	$783.76	$1,292.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,151.00	Facility		$500.00	$800.00	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.39 / $679.39 / $679.39	Professional		$679.39	$679.39	$679.39
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,700.14 / $1,700.14 / $1,700.14	Facility		$1,700.14	$1,700.14	$1,700.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $913.65 / $1,102.64 / $1,517.26	Professional		$913.65	$1,102.64	$1,517.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $864.56 / $4,761.00 / $8,247.00	Facility		$864.56	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $589.89 / $733.66 / $3,610.00	Professional		$589.89	$733.66	$3,610.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,189.70 / $1,433.60 / $1,907.90	Professional		$1,189.70	$1,433.60	$1,907.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,151.00	Facility		$500.00	$800.00	$2,151.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $679.39 / $679.39 / $679.39	Professional		$679.39	$679.39	$679.39
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $588.13 / $737.60 / $737.60	Facility		$588.13	$737.60	$737.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $588.13 / $737.60 / $778.17	Professional		$588.13	$737.60	$778.17
United Facility/Professional Facility Modifier Low / Median / High Price $388.00 / $2,020.00 / $6,322.00	Facility		$388.00	$2,020.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $619.23 / $794.78 / $1,314.89	Professional		$619.23	$794.78	$1,314.89