Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $598.05 / $598.05 / $2,314.48	Facility		$598.05	$598.05	$2,314.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $568.67 / $661.68 / $803.81	Professional		$568.67	$661.68	$803.81
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 $1,106.53 / $1,453.18 / $1,453.18	Professional		$1,106.53	$1,453.18	$1,453.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.10 / $831.10 / $1,453.18	Facility		$831.10	$831.10	$1,453.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.70 / $606.70 / $1,272.46	Professional		$606.70	$606.70	$1,272.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,336.93 / $1,453.18 / $2,761.04	Professional		$1,336.93	$1,453.18	$2,761.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $598.05 / $598.05 / $2,314.48	Facility		$598.05	$598.05	$2,314.48
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $568.67 / $687.13 / $935.38	Professional		$568.67	$687.13	$935.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,801.80 / $2,072.00 / $2,863.00	Professional		$1,801.80	$2,072.00	$2,863.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $831.10 / $831.10 / $1,453.18	Facility		$831.10	$831.10	$1,453.18
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $606.70 / $606.70 / $1,726.13	Professional		$606.70	$606.70	$1,726.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,038.96 / $1,383.16 / $1,383.16	Facility		$1,038.96	$1,383.16	$1,383.16
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,038.96 / $1,383.16 / $1,417.15	Professional		$1,038.96	$1,383.16	$1,417.15
United Facility/Professional Professional Modifier Low / Median / High Price $552.96 / $724.97 / $1,208.29	Professional		$552.96	$724.97	$1,208.29