Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $712.17 / $712.17 / $2,756.10	Facility		$712.17	$712.17	$2,756.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $638.29 / $754.07 / $1,082.27	Professional		$638.29	$754.07	$1,082.27
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 $1,214.33 / $1,594.75 / $1,594.75	Professional		$1,214.33	$1,594.75	$1,594.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,020.64 / $1,020.64 / $1,631.04	Facility		$1,020.64	$1,020.64	$1,631.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $745.07 / $745.07 / $1,428.20	Professional		$745.07	$745.07	$1,428.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,500.56 / $1,631.04 / $3,098.98	Professional		$1,500.56	$1,631.04	$3,098.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $712.17 / $712.17 / $2,756.10	Facility		$712.17	$712.17	$2,756.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $638.29 / $754.07 / $1,318.41	Professional		$638.29	$754.07	$1,318.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,104.70 / $2,224.50 / $3,213.40	Professional		$1,104.70	$2,224.50	$3,213.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,020.64 / $1,020.64 / $1,631.04	Facility		$1,020.64	$1,020.64	$1,631.04
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $745.07 / $745.07 / $2,465.25	Professional		$745.07	$745.07	$2,465.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $762.06 / $762.06 / $1,517.91	Facility		$762.06	$762.06	$1,517.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $762.06 / $1,517.91 / $1,552.45	Professional		$762.06	$1,517.91	$1,552.45
United Facility/Professional Professional Modifier Low / Median / High Price $719.08 / $956.85 / $1,476.08	Professional		$719.08	$956.85	$1,476.08