Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $611.92 / $611.92 / $2,368.17	Facility		$611.92	$611.92	$2,368.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.99 / $657.07 / $897.13	Professional		$601.99	$657.07	$897.13
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 $1,043.41 / $1,370.29 / $1,370.29	Professional		$1,043.41	$1,370.29	$1,370.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.50 / $870.50 / $1,714.33	Facility		$870.50	$870.50	$1,714.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $635.47 / $635.47 / $1,501.13	Professional		$635.47	$635.47	$1,501.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,577.18 / $1,714.33 / $3,257.23	Professional		$1,577.18	$1,714.33	$3,257.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $611.92 / $611.92 / $2,368.17	Facility		$611.92	$611.92	$2,368.17
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $599.94 / $670.88 / $1,113.71	Professional		$599.94	$670.88	$1,113.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,161.09 / $2,338.10 / $3,377.50	Professional		$1,161.09	$2,338.10	$3,377.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $870.50 / $870.50 / $1,714.33	Facility		$870.50	$870.50	$1,714.33
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $635.47 / $635.47 / $1,560.00	Professional		$635.47	$635.47	$1,560.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $654.79 / $654.79 / $1,304.26	Facility		$654.79	$654.79	$1,304.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $654.79 / $1,304.26 / $1,631.73	Professional		$654.79	$1,304.26	$1,631.73
United Facility/Professional Professional Modifier Low / Median / High Price $639.82 / $822.17 / $1,235.72	Professional		$639.82	$822.17	$1,235.72