Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $740.02 / $740.02 / $2,863.88	Facility		$740.02	$740.02	$2,863.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $703.68 / $818.75 / $994.61	Professional		$703.68	$818.75	$994.61
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 $1,369.19 / $1,798.13 / $1,798.13	Professional		$1,369.19	$1,798.13	$1,798.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,028.38 / $1,028.38 / $1,798.13	Facility		$1,028.38	$1,028.38	$1,798.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.72 / $750.72 / $1,574.51	Professional		$750.72	$750.72	$1,574.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,654.28 / $1,798.13 / $3,416.45	Professional		$1,654.28	$1,798.13	$3,416.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $740.02 / $740.02 / $2,863.88	Facility		$740.02	$740.02	$2,863.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $703.68 / $850.24 / $1,169.09	Professional		$703.68	$850.24	$1,169.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,229.50 / $2,563.90 / $3,542.60	Professional		$2,229.50	$2,563.90	$3,542.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,028.38 / $1,028.38 / $1,798.13	Facility		$1,028.38	$1,028.38	$1,798.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $750.72 / $750.72 / $2,135.63	Professional		$750.72	$750.72	$2,135.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,285.58 / $1,711.49 / $1,711.49	Facility		$1,285.58	$1,711.49	$1,711.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,285.58 / $1,711.49 / $1,753.55	Professional		$1,285.58	$1,711.49	$1,753.55
United Facility/Professional Professional Modifier Low / Median / High Price $688.17 / $900.86 / $1,621.57	Professional		$688.17	$900.86	$1,621.57