Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,094.72 / $1,195.99 / $1,684.40	Professional		$1,094.72	$1,195.99	$1,684.40
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,152.72 / $1,196.22 / $1,196.22	Professional		$1,152.72	$1,196.22	$1,196.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,108.91 / $1,468.08 / $2,440.46	Professional		$1,108.91	$1,468.08	$2,440.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,338.84 / $1,779.68 / $2,312.55	Professional		$1,338.84	$1,779.68	$2,312.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,094.72 / $1,256.74 / $4,575.00	Professional		$1,094.72	$1,256.74	$4,575.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $2,474.40 / $3,090.80	Professional		$5.00	$2,474.40	$3,090.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,108.91 / $1,472.21 / $2,446.67	Professional		$1,108.91	$1,472.21	$2,446.67
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,095.64 / $1,130.56 / $1,184.24	Professional		$1,095.64	$1,130.56	$1,184.24
United Facility/Professional Professional Modifier Low / Median / High Price $1,110.97 / $1,463.03 / $2,422.64	Professional		$1,110.97	$1,463.03	$2,422.64