Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $604.28 / $604.28 / $2,338.56	Facility		$604.28	$604.28	$2,338.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.61 / $668.57 / $812.17	Professional		$574.61	$668.57	$812.17
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 $1,118.06 / $1,468.32 / $1,468.32	Professional		$1,118.06	$1,468.32	$1,468.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,038.85 / $1,038.85 / $1,468.32	Facility		$1,038.85	$1,038.85	$1,468.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.37 / $758.37 / $1,285.71	Professional		$758.37	$758.37	$1,285.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,350.85 / $1,468.32 / $2,789.81	Professional		$1,350.85	$1,468.32	$2,789.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $604.28 / $604.28 / $2,338.56	Facility		$604.28	$604.28	$2,338.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $574.61 / $694.28 / $954.66	Professional		$574.61	$694.28	$954.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,820.50 / $2,093.60 / $2,892.80	Professional		$1,820.50	$2,093.60	$2,892.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,038.85 / $1,038.85 / $1,468.32	Facility		$1,038.85	$1,038.85	$1,468.32
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $758.37 / $758.37 / $1,744.13	Professional		$758.37	$758.37	$1,744.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,049.79 / $1,397.57 / $1,397.57	Facility		$1,049.79	$1,397.57	$1,397.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,049.79 / $1,397.57 / $1,431.89	Professional		$1,049.79	$1,397.57	$1,431.89
United Facility/Professional Professional Modifier Low / Median / High Price $558.72 / $735.61 / $1,324.14	Professional		$558.72	$735.61	$1,324.14