Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $601.70 / $601.70 / $2,328.58	Facility		$601.70	$601.70	$2,328.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $598.38 / $691.31 / $915.18	Professional		$598.38	$691.31	$915.18
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 $1,113.27 / $1,462.04 / $1,462.04	Professional		$1,113.27	$1,462.04	$1,462.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $888.38 / $888.38 / $1,580.61	Facility		$888.38	$888.38	$1,580.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $648.52 / $648.52 / $1,384.03	Professional		$648.52	$648.52	$1,384.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,454.16 / $1,580.61 / $3,003.16	Professional		$1,454.16	$1,580.61	$3,003.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $601.70 / $601.70 / $2,328.58	Facility		$601.70	$601.70	$2,328.58
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $598.38 / $691.31 / $1,559.13	Professional		$598.38	$691.31	$1,559.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,070.59 / $2,155.69 / $3,114.10	Professional		$1,070.59	$2,155.69	$3,114.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $888.38 / $888.38 / $1,580.61	Facility		$888.38	$888.38	$1,580.61
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $648.52 / $648.52 / $1,592.25	Professional		$648.52	$648.52	$1,592.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,045.31 / $1,391.59 / $1,391.59	Facility		$1,045.31	$1,391.59	$1,391.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,045.31 / $1,391.59 / $1,504.44	Professional		$1,045.31	$1,391.59	$1,504.44
United Facility/Professional Professional Modifier Low / Median / High Price $574.24 / $753.71 / $1,271.08	Professional		$574.24	$753.71	$1,271.08