Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $850.56 / $850.56 / $3,291.67	Facility		$850.56	$850.56	$3,291.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $832.19 / $933.24 / $1,299.89	Professional		$832.19	$933.24	$1,299.89
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 $1,450.29 / $1,904.64 / $1,904.64	Professional		$1,450.29	$1,904.64	$1,904.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,551.30 / $1,551.30 / $2,539.52	Facility		$1,551.30	$1,551.30	$2,539.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,132.45 / $1,132.45 / $2,223.69	Professional		$1,132.45	$1,132.45	$2,223.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,336.36 / $2,539.52 / $4,825.09	Professional		$2,336.36	$2,539.52	$4,825.09
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $850.56 / $850.56 / $3,291.67	Facility		$850.56	$850.56	$3,291.67
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $833.89 / $933.95 / $1,601.06	Professional		$833.89	$933.95	$1,601.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,148.70 / $3,621.00 / $5,003.30	Professional		$3,148.70	$3,621.00	$5,003.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,551.30 / $1,551.30 / $2,539.52	Facility		$1,551.30	$1,551.30	$2,539.52
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,132.45 / $1,132.45 / $2,780.25	Professional		$1,132.45	$1,132.45	$2,780.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,361.74 / $1,812.86 / $1,812.86	Facility		$1,361.74	$1,812.86	$1,812.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,361.74 / $1,812.86 / $2,417.15	Professional		$1,361.74	$1,812.86	$2,417.15
United Facility/Professional Professional Modifier Low / Median / High Price $890.84 / $1,142.78 / $1,664.12	Professional		$890.84	$1,142.78	$1,664.12