Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $561.66 / $578.23 / $1,144.89	Facility		$561.66	$578.23	$1,144.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $566.90 / $634.44 / $903.78	Professional		$566.90	$634.44	$903.78
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 $985.94 / $1,294.82 / $1,294.82	Professional		$985.94	$1,294.82	$1,294.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $809.08 / $809.08 / $1,726.43	Facility		$809.08	$809.08	$1,726.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.72 / $687.72 / $1,511.72	Professional		$687.72	$687.72	$1,511.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,588.32 / $1,726.43 / $3,280.22	Professional		$1,588.32	$1,726.43	$3,280.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $456.30 / $578.23 / $1,287.11	Facility		$456.30	$578.23	$1,287.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $566.90 / $634.91 / $1,088.44	Professional		$566.90	$634.91	$1,088.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,140.60 / $2,461.60 / $3,401.40	Professional		$2,140.60	$2,461.60	$3,401.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $809.08 / $809.08 / $1,726.43	Facility		$809.08	$809.08	$1,726.43
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $687.72 / $687.72 / $1,596.00	Professional		$687.72	$687.72	$1,596.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $925.74 / $1,232.43 / $1,232.43	Facility		$925.74	$1,232.43	$1,232.43
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $925.74 / $1,232.43 / $1,643.24	Professional		$925.74	$1,232.43	$1,643.24
United Facility/Professional Professional Modifier Low / Median / High Price $605.61 / $776.89 / $1,131.31	Professional		$605.61	$776.89	$1,131.31