Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.62 / $954.62 / $3,694.38	Facility		$954.62	$954.62	$3,694.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.54 / $1,010.78 / $1,302.56	Professional		$836.54	$1,010.78	$1,302.56
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 $1,627.73 / $2,137.66 / $2,137.66	Professional		$1,627.73	$2,137.66	$2,137.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,222.54 / $1,222.54 / $2,137.66	Facility		$1,222.54	$1,222.54	$2,137.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $892.45 / $892.45 / $2,539.13	Professional		$892.45	$892.45	$2,539.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,966.65 / $2,137.66 / $4,061.55	Professional		$1,966.65	$2,137.66	$4,061.55
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.62 / $954.62 / $3,694.38	Facility		$954.62	$954.62	$3,694.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $836.54 / $1,048.21 / $1,737.41	Professional		$836.54	$1,048.21	$1,737.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,650.40 / $3,048.00 / $4,211.60	Professional		$2,650.40	$3,048.00	$4,211.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,222.54 / $1,222.54 / $2,137.66	Facility		$1,222.54	$1,222.54	$2,137.66
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $892.45 / $892.45 / $2,539.13	Professional		$892.45	$892.45	$2,539.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,528.32 / $2,034.66 / $2,034.66	Facility		$1,528.32	$2,034.66	$2,034.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,528.32 / $2,034.66 / $2,084.54	Professional		$1,528.32	$2,034.66	$2,084.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,217.37 / $2,608.67 / $3,130.40	Facility		$2,217.37	$2,608.67	$3,130.40
United Facility/Professional Professional Modifier Low / Median / High Price $976.08 / $1,204.83 / $1,867.72	Professional		$976.08	$1,204.83	$1,867.72