Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.50 / $382.50 / $1,480.27	Facility		$382.50	$382.50	$1,480.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.19 / $405.00 / $521.91	Professional		$335.19	$405.00	$521.91
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 $652.20 / $856.52 / $856.52	Professional		$652.20	$856.52	$856.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.54 / $624.54 / $856.52	Facility		$624.54	$624.54	$856.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.91 / $455.91 / $750.00	Professional		$455.91	$455.91	$750.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $788.00 / $856.52 / $1,627.39	Professional		$788.00	$856.52	$1,627.39
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $382.50 / $382.50 / $1,480.27	Facility		$382.50	$382.50	$1,480.27
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $335.19 / $405.00 / $590.12	Professional		$335.19	$405.00	$590.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,062.00 / $1,221.30 / $1,687.50	Professional		$1,062.00	$1,221.30	$1,687.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $624.54 / $624.54 / $856.52	Facility		$624.54	$624.54	$856.52
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $455.91 / $455.91 / $1,017.38	Professional		$455.91	$455.91	$1,017.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $612.38 / $815.25 / $815.25	Facility		$612.38	$815.25	$815.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $612.38 / $815.25 / $835.24	Professional		$612.38	$815.25	$835.24
United Facility/Professional Professional Modifier Low / Median / High Price $386.21 / $462.92 / $712.19	Professional		$386.21	$462.92	$712.19