Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $726.95 / $726.95 / $2,813.30	Facility		$726.95	$726.95	$2,813.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $613.41 / $769.71 / $936.99	Professional		$613.41	$769.71	$936.99
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 $1,239.52 / $1,627.83 / $1,627.83	Professional		$1,239.52	$1,627.83	$1,627.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $895.00 / $1,576.18	Facility		$895.00	$895.00	$1,576.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.35 / $653.35 / $1,380.16	Professional		$653.35	$653.35	$1,380.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,450.09 / $1,576.18 / $2,994.74	Professional		$1,450.09	$1,576.18	$2,994.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $726.95 / $726.95 / $2,813.30	Facility		$726.95	$726.95	$2,813.30
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $596.66 / $769.71 / $1,323.05	Professional		$596.66	$769.71	$1,323.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,067.59 / $2,149.69 / $3,105.40	Professional		$1,067.59	$2,149.69	$3,105.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $895.00 / $1,576.18	Facility		$895.00	$895.00	$1,576.18
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $653.35 / $653.35 / $2,020.88	Professional		$653.35	$653.35	$2,020.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $777.87 / $777.87 / $1,549.40	Facility		$777.87	$777.87	$1,549.40
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $777.87 / $1,549.40 / $1,580.39	Professional		$777.87	$1,549.40	$1,580.39
United Facility/Professional Professional Modifier Low / Median / High Price $733.99 / $948.28 / $1,467.98	Professional		$733.99	$948.28	$1,467.98