Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $975.66 / $975.66 / $3,775.80	Facility		$975.66	$975.66	$3,775.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $811.28 / $1,033.05 / $1,307.00	Professional		$811.28	$1,033.05	$1,307.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,451.17 / $1,451.17 / $1,451.17	Professional		$1,451.17	$1,451.17	$1,451.17
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 $1,663.60 / $2,184.78 / $2,184.78	Professional		$1,663.60	$2,184.78	$2,184.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,295.39 / $1,295.39 / $2,073.10	Facility		$1,295.39	$1,295.39	$2,073.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $945.63 / $945.63 / $1,815.28	Professional		$945.63	$945.63	$1,815.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,907.25 / $2,073.10 / $3,938.89	Professional		$1,907.25	$2,073.10	$3,938.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $975.66 / $975.66 / $3,775.80	Facility		$975.66	$975.66	$3,775.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $811.28 / $1,033.05 / $1,775.70	Professional		$811.28	$1,033.05	$1,775.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,404.10 / $2,827.40 / $4,084.40	Professional		$1,404.10	$2,827.40	$4,084.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,295.39 / $1,295.39 / $2,073.10	Facility		$1,295.39	$1,295.39	$2,073.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $945.63 / $945.63 / $2,904.00	Professional		$945.63	$945.63	$2,904.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,044.00 / $1,044.00 / $2,079.50	Facility		$1,044.00	$1,044.00	$2,079.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,044.00 / $2,079.50 / $2,121.09	Professional		$1,044.00	$2,079.50	$2,121.09
United Facility/Professional Professional Modifier Low / Median / High Price $985.12 / $1,231.40 / $1,918.71	Professional		$985.12	$1,231.40	$1,918.71