Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $866.35 / $866.35 / $3,352.77	Facility		$866.35	$866.35	$3,352.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $759.19 / $917.31 / $1,147.57	Professional		$759.19	$917.31	$1,147.57
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 $1,477.21 / $1,939.99 / $1,939.99	Professional		$1,477.21	$1,939.99	$1,939.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,254.96 / $1,254.96 / $1,939.99	Facility		$1,254.96	$1,254.96	$1,939.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $916.12 / $916.12 / $1,698.72	Professional		$916.12	$916.12	$1,698.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,784.79 / $1,939.99 / $3,685.98	Professional		$1,784.79	$1,939.99	$3,685.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $866.35 / $866.35 / $3,352.77	Facility		$866.35	$866.35	$3,352.77
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $759.19 / $917.31 / $1,311.02	Professional		$759.19	$917.31	$1,311.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,314.00 / $2,645.90 / $3,822.10	Professional		$1,314.00	$2,645.90	$3,822.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,254.96 / $1,254.96 / $1,939.99	Facility		$1,254.96	$1,254.96	$1,939.99
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $916.12 / $916.12 / $2,248.88	Professional		$916.12	$916.12	$2,248.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $927.02 / $927.02 / $1,846.51	Facility		$927.02	$927.02	$1,846.51
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $927.02 / $1,846.51 / $1,846.51	Professional		$927.02	$1,846.51	$1,846.51
United Facility/Professional Facility Modifier Low / Median / High Price $969.63 / $969.63 / $969.63	Facility		$969.63	$969.63	$969.63
United Facility/Professional Professional Modifier Low / Median / High Price $911.02 / $1,163.99 / $1,749.50	Professional		$911.02	$1,163.99	$1,749.50