Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.19 / $2,619.17 / $3,174.55	Facility		$645.19	$2,619.17	$3,174.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.43 / $614.83 / $645.19	Professional		$455.43	$614.83	$645.19
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 $592.05 / $592.05 / $592.05	Professional		$592.05	$592.05	$592.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $720.33 / $1,103.69 / $2,518.75	Facility		$720.33	$1,103.69	$2,518.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,658.62 / $3,658.62 / $3,658.62	Professional		$3,658.62	$3,658.62	$3,658.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $797.00 / $1,024.72 / $1,874.85	Professional		$797.00	$1,024.72	$1,874.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $781.82 / $2,154.92 / $3,134.88	Facility		$781.82	$2,154.92	$3,134.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $498.16 / $645.19 / $3,134.88	Professional		$498.16	$645.19	$3,134.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,123.39 / $1,138.58 / $1,518.10	Professional		$1,123.39	$1,138.58	$1,518.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $738.94 / $1,175.13 / $2,518.75	Facility		$738.94	$1,175.13	$2,518.75
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,658.62 / $3,658.62 / $3,658.62	Professional		$3,658.62	$3,658.62	$3,658.62
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $759.05 / $759.05 / $834.96	Facility		$759.05	$759.05	$834.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $759.05 / $759.05 / $834.96	Professional		$759.05	$759.05	$834.96
United Facility/Professional Professional Modifier Low / Median / High Price $318.80 / $455.43 / $1,062.67	Professional		$318.80	$455.43	$1,062.67