Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $638.26 / $638.26 / $2,470.07	Facility		$638.26	$638.26	$2,470.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.14 / $727.41 / $866.85	Professional		$562.14	$727.41	$866.85
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 $1,180.91 / $1,550.87 / $1,550.87	Professional		$1,180.91	$1,550.87	$1,550.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $897.58 / $897.58 / $1,436.45	Facility		$897.58	$897.58	$1,436.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.23 / $655.23 / $1,845.75	Professional		$655.23	$655.23	$1,845.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,321.53 / $1,436.45 / $2,729.26	Professional		$1,321.53	$1,436.45	$2,729.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $638.26 / $638.26 / $2,470.07	Facility		$638.26	$638.26	$2,470.07
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $562.14 / $733.31 / $1,018.93	Professional		$562.14	$733.31	$1,018.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $972.90 / $1,959.10 / $2,830.10	Professional		$972.90	$1,959.10	$2,830.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $897.58 / $897.58 / $1,436.45	Facility		$897.58	$897.58	$1,436.45
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $655.23 / $655.23 / $1,845.75	Professional		$655.23	$655.23	$1,845.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $741.10 / $741.10 / $1,476.14	Facility		$741.10	$741.10	$1,476.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $741.10 / $1,476.14 / $1,505.66	Professional		$741.10	$1,476.14	$1,505.66
United Facility/Professional Facility Modifier Low / Median / High Price $957.27 / $957.27 / $957.27	Facility		$957.27	$957.27	$957.27
United Facility/Professional Professional Modifier Low / Median / High Price $600.64 / $776.98 / $1,355.02	Professional		$600.64	$776.98	$1,355.02