Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $692.14 / $692.14 / $2,678.58	Facility		$692.14	$692.14	$2,678.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $606.53 / $732.86 / $944.43	Professional		$606.53	$732.86	$944.43
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 $1,180.17 / $1,549.90 / $1,549.90	Professional		$1,180.17	$1,549.90	$1,549.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,111.22 / $1,111.22 / $1,549.90	Facility		$1,111.22	$1,111.22	$1,549.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $811.19 / $811.19 / $1,840.88	Professional		$811.19	$811.19	$1,840.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,425.91 / $1,549.90 / $2,944.81	Professional		$1,425.91	$1,549.90	$2,944.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $692.14 / $692.14 / $2,678.58	Facility		$692.14	$692.14	$2,678.58
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $606.53 / $732.86 / $1,067.84	Professional		$606.53	$732.86	$1,067.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,921.70 / $2,209.90 / $3,053.60	Professional		$1,921.70	$2,209.90	$3,053.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,111.22 / $1,111.22 / $1,549.90	Facility		$1,111.22	$1,111.22	$1,549.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $811.19 / $811.19 / $1,859.28	Professional		$811.19	$811.19	$1,859.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,108.09 / $1,475.21 / $1,475.21	Facility		$1,108.09	$1,475.21	$1,475.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,108.09 / $1,475.21 / $1,511.46	Professional		$1,108.09	$1,475.21	$1,511.46
United Facility/Professional Professional Modifier Low / Median / High Price $698.84 / $873.56 / $1,397.69	Professional		$698.84	$873.56	$1,397.69