Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $595.96 / $595.96 / $2,306.37	Facility		$595.96	$595.96	$2,306.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $595.96 / $684.72 / $816.12	Professional		$595.96	$684.72	$816.12
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 $1,102.66 / $1,448.10 / $1,448.10	Professional		$1,102.66	$1,448.10	$1,448.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $832.50 / $832.50 / $1,753.24	Facility		$832.50	$832.50	$1,753.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $607.73 / $607.73 / $1,555.48	Professional		$607.73	$607.73	$1,555.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,634.30 / $1,776.41 / $3,375.18	Professional		$1,634.30	$1,776.41	$3,375.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $595.96 / $595.96 / $2,306.37	Facility		$595.96	$595.96	$2,306.37
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $595.96 / $695.18 / $1,119.95	Professional		$595.96	$695.18	$1,119.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,203.20 / $2,422.80 / $3,499.80	Professional		$1,203.20	$2,422.80	$3,499.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $832.50 / $832.50 / $1,753.24	Facility		$832.50	$832.50	$1,753.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $607.73 / $607.73 / $1,761.38	Professional		$607.73	$607.73	$1,761.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,035.32 / $1,378.32 / $1,378.32	Facility		$1,035.32	$1,378.32	$1,378.32
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,035.32 / $1,378.32 / $1,690.81	Professional		$1,035.32	$1,378.32	$1,690.81
United Facility/Professional Professional Modifier Low / Median / High Price $600.74 / $729.66 / $1,305.90	Professional		$600.74	$729.66	$1,305.90