Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.88 / $352.88 / $1,365.65	Facility		$352.88	$352.88	$1,365.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.20 / $373.64 / $526.80	Professional		$325.20	$373.64	$526.80
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 $601.70 / $790.21 / $790.21	Professional		$601.70	$790.21	$790.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $589.44 / $589.44 / $878.20	Facility		$589.44	$589.44	$878.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.29 / $430.29 / $768.99	Professional		$430.29	$430.29	$768.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $807.94 / $878.20 / $1,668.58	Professional		$807.94	$878.20	$1,668.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $352.88 / $352.88 / $1,365.65	Facility		$352.88	$352.88	$1,365.65
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $329.18 / $387.48 / $642.24	Professional		$329.18	$387.48	$642.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $594.79 / $1,197.80 / $1,730.20	Professional		$594.79	$1,197.80	$1,730.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $589.44 / $589.44 / $878.20	Facility		$589.44	$589.44	$878.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $430.29 / $430.29 / $1,020.75	Professional		$430.29	$430.29	$1,020.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $377.61 / $377.61 / $752.13	Facility		$377.61	$377.61	$752.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $377.61 / $752.13 / $835.89	Professional		$377.61	$752.13	$835.89
United Facility/Professional Professional Modifier Low / Median / High Price $371.08 / $474.13 / $712.62	Professional		$371.08	$474.13	$712.62