Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $696.28 / $696.28 / $2,694.60	Facility		$696.28	$696.28	$2,694.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $610.16 / $737.24 / $950.09	Professional		$610.16	$737.24	$950.09
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 $1,187.23 / $1,559.17 / $1,559.17	Professional		$1,187.23	$1,559.17	$1,559.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.71 / $891.71 / $1,559.17	Facility		$891.71	$891.71	$1,559.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $650.95 / $650.95 / $1,365.26	Professional		$650.95	$650.95	$1,365.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,434.44 / $1,559.17 / $2,962.42	Professional		$1,434.44	$1,559.17	$2,962.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $696.28 / $696.28 / $2,694.60	Facility		$696.28	$696.28	$2,694.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $610.16 / $737.24 / $1,074.24	Professional		$610.16	$737.24	$1,074.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,933.20 / $2,223.10 / $3,071.80	Professional		$1,933.20	$2,223.10	$3,071.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $891.71 / $891.71 / $1,559.17	Facility		$891.71	$891.71	$1,559.17
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $650.95 / $650.95 / $1,851.75	Professional		$650.95	$650.95	$1,851.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,114.74 / $1,484.04 / $1,484.04	Facility		$1,114.74	$1,484.04	$1,484.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,114.74 / $1,484.04 / $1,520.48	Professional		$1,114.74	$1,484.04	$1,520.48
United Facility/Professional Professional Modifier Low / Median / High Price $703.03 / $842.67 / $1,406.06	Professional		$703.03	$842.67	$1,406.06