Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $638.30 / $638.30 / $2,470.26	Facility		$638.30	$638.30	$2,470.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $606.97 / $706.22 / $899.67	Professional		$606.97	$706.22	$899.67
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 $1,181.02 / $1,551.00 / $1,551.00	Professional		$1,181.02	$1,551.00	$1,551.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,115.23 / $1,115.23 / $1,551.00	Facility		$1,115.23	$1,115.23	$1,551.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.12 / $814.12 / $1,358.11	Professional		$814.12	$814.12	$1,358.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,426.92 / $1,551.00 / $2,946.90	Professional		$1,426.92	$1,551.00	$2,946.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $638.30 / $638.30 / $2,470.26	Facility		$638.30	$638.30	$2,470.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $528.01 / $733.38 / $1,181.02	Professional		$528.01	$733.38	$1,181.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,923.10 / $2,211.50 / $3,055.70	Professional		$1,923.10	$2,211.50	$3,055.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,115.23 / $1,115.23 / $1,551.00	Facility		$1,115.23	$1,115.23	$1,551.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $814.12 / $814.12 / $1,842.38	Professional		$814.12	$814.12	$1,842.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,108.90 / $1,476.27 / $1,476.27	Facility		$1,108.90	$1,476.27	$1,476.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,108.90 / $1,476.27 / $1,512.55	Professional		$1,108.90	$1,476.27	$1,512.55
United Facility/Professional Professional Modifier Low / Median / High Price $593.59 / $777.06 / $1,289.63	Professional		$593.59	$777.06	$1,289.63