Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.22 / $788.22 / $3,050.41	Facility		$788.22	$788.22	$3,050.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $643.89 / $834.58 / $953.70	Professional		$643.89	$834.58	$953.70
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 $1,343.98 / $1,765.03 / $1,765.03	Professional		$1,343.98	$1,765.03	$1,765.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,260.83 / $1,260.83 / $1,645.34	Facility		$1,260.83	$1,260.83	$1,645.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $920.41 / $920.41 / $1,440.72	Professional		$920.41	$920.41	$1,440.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.71 / $1,645.34 / $3,126.15	Professional		$1,513.71	$1,645.34	$3,126.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $788.22 / $788.22 / $3,050.41	Facility		$788.22	$788.22	$3,050.41
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $643.02 / $834.58 / $1,148.88	Professional		$643.02	$834.58	$1,148.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,040.00 / $2,346.00 / $3,241.60	Professional		$2,040.00	$2,346.00	$3,241.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,260.83 / $1,260.83 / $1,645.34	Facility		$1,260.83	$1,260.83	$1,645.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $920.41 / $920.41 / $2,074.13	Professional		$920.41	$920.41	$2,074.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,261.91 / $1,679.98 / $1,679.98	Facility		$1,261.91	$1,679.98	$1,679.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,261.91 / $1,679.98 / $1,703.04	Professional		$1,261.91	$1,679.98	$1,703.04
United Facility/Professional Professional Modifier Low / Median / High Price $795.85 / $987.20 / $1,591.70	Professional		$795.85	$987.20	$1,591.70