Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.63 / $359.63 / $1,391.77	Facility		$359.63	$359.63	$1,391.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.44 / $359.63 / $429.25	Professional		$287.44	$359.63	$429.25
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 $613.21 / $805.31 / $805.31	Professional		$613.21	$805.31	$805.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $427.13 / $427.13 / $792.81	Facility		$427.13	$427.13	$792.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.80 / $311.80 / $705.16	Professional		$311.80	$311.80	$705.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $740.89 / $805.31 / $1,530.09	Professional		$740.89	$805.31	$1,530.09
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $359.63 / $359.63 / $1,391.77	Facility		$359.63	$359.63	$1,391.77
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $295.94 / $375.59 / $654.53	Professional		$295.94	$375.59	$654.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $545.40 / $1,098.30 / $1,586.60	Professional		$545.40	$1,098.30	$1,586.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $427.13 / $427.13 / $792.81	Facility		$427.13	$427.13	$792.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $311.80 / $311.80 / $765.38	Professional		$311.80	$311.80	$765.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $384.82 / $384.82 / $766.51	Facility		$384.82	$384.82	$766.51
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $384.82 / $766.51 / $766.51	Professional		$384.82	$766.51	$766.51
United Facility/Professional Professional Modifier Low / Median / High Price $353.90 / $435.24 / $669.60	Professional		$353.90	$435.24	$669.60