Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $756.42 / $756.42 / $2,927.35	Facility		$756.42	$756.42	$2,927.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.22 / $800.91 / $966.86	Professional		$636.22	$800.91	$966.86
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 $1,289.77 / $1,693.83 / $1,693.83	Professional		$1,289.77	$1,693.83	$1,693.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,232.20 / $1,232.20 / $1,640.08	Facility		$1,232.20	$1,232.20	$1,640.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.51 / $899.51 / $1,436.11	Professional		$899.51	$899.51	$1,436.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,508.87 / $1,640.08 / $3,116.15	Professional		$1,508.87	$1,640.08	$3,116.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $756.42 / $756.42 / $2,927.35	Facility		$756.42	$756.42	$2,927.35
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $618.85 / $800.91 / $1,376.68	Professional		$618.85	$800.91	$1,376.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,110.90 / $2,236.90 / $3,231.20	Professional		$1,110.90	$2,236.90	$3,231.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,232.20 / $1,232.20 / $1,640.08	Facility		$1,232.20	$1,232.20	$1,640.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $899.51 / $899.51 / $2,103.00	Professional		$899.51	$899.51	$2,103.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $809.38 / $809.38 / $1,612.21	Facility		$809.38	$809.38	$1,612.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $809.38 / $1,612.21 / $1,644.45	Professional		$809.38	$1,612.21	$1,644.45
United Facility/Professional Professional Modifier Low / Median / High Price $763.74 / $915.45 / $1,479.93	Professional		$763.74	$915.45	$1,479.93