Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.34 / $651.34 / $2,520.69	Facility		$651.34	$651.34	$2,520.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $570.78 / $689.66 / $888.76	Professional		$570.78	$689.66	$888.76
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 $1,110.59 / $1,458.52 / $1,458.52	Professional		$1,110.59	$1,458.52	$1,458.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $967.10 / $967.10 / $1,458.52	Facility		$967.10	$967.10	$1,458.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $705.98 / $705.98 / $1,277.14	Professional		$705.98	$705.98	$1,277.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,341.84 / $1,458.52 / $2,771.19	Professional		$1,341.84	$1,458.52	$2,771.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $651.34 / $651.34 / $2,520.69	Facility		$651.34	$651.34	$2,520.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $570.78 / $689.66 / $1,004.93	Professional		$570.78	$689.66	$1,004.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,808.40 / $2,079.69 / $2,873.60	Professional		$1,808.40	$2,079.69	$2,873.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $967.10 / $967.10 / $1,458.52	Facility		$967.10	$967.10	$1,458.52
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $705.98 / $705.98 / $1,732.50	Professional		$705.98	$705.98	$1,732.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,042.79 / $1,388.25 / $1,388.25	Facility		$1,042.79	$1,388.25	$1,388.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,042.79 / $1,388.25 / $1,422.39	Professional		$1,042.79	$1,388.25	$1,422.39
United Facility/Professional Professional Modifier Low / Median / High Price $657.66 / $822.08 / $1,315.32	Professional		$657.66	$822.08	$1,315.32