Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $653.64 / $653.64 / $692.09	Facility		$653.64	$653.64	$692.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $570.42 / $692.09 / $888.21	Professional		$570.42	$692.09	$888.21
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 $1,114.51 / $1,463.66 / $1,463.66	Professional		$1,114.51	$1,463.66	$1,463.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $843.35 / $843.35 / $1,457.63	Facility		$843.35	$843.35	$1,457.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $716.85 / $716.85 / $1,276.35	Professional		$716.85	$716.85	$1,276.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,341.02 / $1,457.63 / $2,769.50	Professional		$1,341.02	$1,457.63	$2,769.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $653.64 / $653.64 / $653.64	Facility		$653.64	$653.64	$653.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $570.42 / $692.09 / $1,014.10	Professional		$570.42	$692.09	$1,014.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,807.30 / $2,078.40 / $2,871.80	Professional		$1,807.30	$2,078.40	$2,871.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $843.35 / $843.35 / $1,457.63	Facility		$843.35	$843.35	$1,457.63
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $716.85 / $716.85 / $1,779.00	Professional		$716.85	$716.85	$1,779.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,046.46 / $1,393.14 / $1,393.14	Facility		$1,046.46	$1,393.14	$1,393.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,046.46 / $1,393.14 / $1,460.51	Professional		$1,046.46	$1,393.14	$1,460.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.61 / $1,799.54 / $2,159.44	Facility		$1,529.61	$1,799.54	$2,159.44
United Facility/Professional Professional Modifier Low / Median / High Price $673.33 / $824.97 / $1,278.83	Professional		$673.33	$824.97	$1,278.83