Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $609.48 / $609.48 / $2,358.69	Facility		$609.48	$609.48	$2,358.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $609.48 / $703.91 / $826.33	Professional		$609.48	$703.91	$826.33
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 $1,127.67 / $1,480.95 / $1,480.95	Professional		$1,127.67	$1,480.95	$1,480.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.96 / $842.96 / $1,796.39	Facility		$842.96	$842.96	$1,796.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.36 / $615.36 / $1,575.03	Professional		$615.36	$615.36	$1,575.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,654.83 / $1,798.73 / $3,417.59	Professional		$1,654.83	$1,798.73	$3,417.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $609.48 / $609.48 / $2,358.69	Facility		$609.48	$609.48	$2,358.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $609.48 / $703.91 / $1,134.02	Professional		$609.48	$703.91	$1,134.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,218.30 / $2,453.19 / $3,543.80	Professional		$1,218.30	$2,453.19	$3,543.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $842.96 / $842.96 / $1,796.39	Facility		$842.96	$842.96	$1,796.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $615.36 / $615.36 / $1,783.50	Professional		$615.36	$615.36	$1,783.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,058.81 / $1,409.59 / $1,409.59	Facility		$1,058.81	$1,409.59	$1,409.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,058.81 / $1,409.59 / $1,712.06	Professional		$1,058.81	$1,409.59	$1,712.06
United Facility/Professional Professional Modifier Low / Median / High Price $564.09 / $746.22 / $1,293.93	Professional		$564.09	$746.22	$1,293.93