Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $610.95 / $610.95 / $2,364.38	Facility		$610.95	$610.95	$2,364.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $580.95 / $675.95 / $954.65	Professional		$580.95	$675.95	$954.65
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 $1,130.39 / $1,484.52 / $1,484.52	Professional		$1,130.39	$1,484.52	$1,484.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,149.77 / $1,149.77 / $1,484.52	Facility		$1,149.77	$1,149.77	$1,484.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.33 / $839.33 / $1,299.90	Professional		$839.33	$839.33	$1,299.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,365.76 / $1,484.52 / $2,820.59	Professional		$1,365.76	$1,484.52	$2,820.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $610.95 / $610.95 / $2,364.38	Facility		$610.95	$610.95	$2,364.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $580.95 / $701.95 / $1,111.99	Professional		$580.95	$701.95	$1,111.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,005.50 / $2,024.70 / $2,924.80	Professional		$1,005.50	$2,024.70	$2,924.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,149.77 / $1,149.77 / $1,484.52	Facility		$1,149.77	$1,149.77	$1,484.52
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $839.33 / $839.33 / $2,060.63	Professional		$839.33	$839.33	$2,060.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,061.36 / $1,412.99 / $1,412.99	Facility		$1,061.36	$1,412.99	$1,412.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,061.36 / $1,412.99 / $1,691.74	Professional		$1,061.36	$1,412.99	$1,691.74
United Facility/Professional Professional Modifier Low / Median / High Price $613.60 / $740.61 / $1,338.76	Professional		$613.60	$740.61	$1,338.76