Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $725.62 / $725.62 / $2,808.15	Facility		$725.62	$725.62	$2,808.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.65 / $768.30 / $926.79	Professional		$577.65	$768.30	$926.79
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 $1,237.25 / $1,624.85 / $1,624.85	Professional		$1,237.25	$1,624.85	$1,624.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $908.63 / $908.63 / $1,476.11	Facility		$908.63	$908.63	$1,476.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.30 / $663.30 / $1,292.53	Professional		$663.30	$663.30	$1,292.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,358.02 / $1,476.11 / $2,804.61	Professional		$1,358.02	$1,476.11	$2,804.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $725.62 / $725.62 / $2,808.15	Facility		$725.62	$725.62	$2,808.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $577.65 / $768.30 / $1,082.30	Professional		$577.65	$768.30	$1,082.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,830.20 / $2,104.69 / $2,908.20	Professional		$1,830.20	$2,104.69	$2,908.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $908.63 / $908.63 / $1,476.11	Facility		$908.63	$908.63	$1,476.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $663.30 / $663.30 / $1,945.88	Professional		$663.30	$663.30	$1,945.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,161.71 / $1,546.56 / $1,546.56	Facility		$1,161.71	$1,546.56	$1,546.56
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,161.71 / $1,546.56 / $1,597.76	Professional		$1,161.71	$1,546.56	$1,597.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,648.02 / $1,938.85 / $2,326.62	Facility		$1,648.02	$1,938.85	$2,326.62
United Facility/Professional Professional Modifier Low / Median / High Price $725.45 / $905.20 / $1,465.31	Professional		$725.45	$905.20	$1,465.31