Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $485.82 / $485.82 / $1,880.12	Facility		$485.82	$485.82	$1,880.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.96 / $537.50 / $652.97	Professional		$461.96	$537.50	$652.97
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 $898.87 / $1,180.47 / $1,180.47	Professional		$898.87	$1,180.47	$1,180.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $782.41 / $782.41 / $1,180.47	Facility		$782.41	$782.41	$1,180.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $571.16 / $571.16 / $1,033.66	Professional		$571.16	$571.16	$1,033.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,086.03 / $1,180.47 / $2,242.89	Professional		$1,086.03	$1,180.47	$2,242.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $485.82 / $485.82 / $1,880.12	Facility		$485.82	$485.82	$1,880.12
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $461.96 / $558.17 / $767.53	Professional		$461.96	$558.17	$767.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,463.60 / $1,683.20 / $2,325.69	Professional		$1,463.60	$1,683.20	$2,325.69
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $782.41 / $782.41 / $1,180.47	Facility		$782.41	$782.41	$1,180.47
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $571.16 / $571.16 / $1,402.13	Professional		$571.16	$571.16	$1,402.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $843.98 / $1,123.58 / $1,123.58	Facility		$843.98	$1,123.58	$1,123.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $843.98 / $1,123.58 / $1,151.21	Professional		$843.98	$1,123.58	$1,151.21
United Facility/Professional Professional Modifier Low / Median / High Price $451.78 / $595.38 / $1,064.54	Professional		$451.78	$595.38	$1,064.54