Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,165.30 / $1,288.59 / $1,288.59	Facility		$1,165.30	$1,288.59	$1,288.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,121.19 / $1,241.64 / $1,988.01	Professional		$1,121.19	$1,241.64	$1,988.01
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 $1,220.17 / $1,829.28 / $2,453.78	Professional		$1,220.17	$1,829.28	$2,453.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,304.99 / $1,679.60 / $2,734.20	Professional		$1,304.99	$1,679.60	$2,734.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,050.00 / $2,000.00 / $2,273.57	Professional		$1,050.00	$2,000.00	$2,273.57
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,288.59 / $1,288.59 / $1,288.59	Facility		$1,288.59	$1,288.59	$1,288.59
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,148.82 / $1,432.43 / $3,827.14	Professional		$1,148.82	$1,432.43	$3,827.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,000.00 / $3,357.60	Professional		$7.00	$1,000.00	$3,357.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,304.99 / $1,696.49 / $2,818.04	Professional		$1,304.99	$1,696.49	$2,818.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,327.94 / $1,327.94 / $1,835.00	Facility		$1,327.94	$1,327.94	$1,835.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,266.02 / $1,356.09 / $1,835.00	Professional		$1,266.02	$1,356.09	$1,835.00
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,391.00 / $6,322.00	Facility		$625.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,306.95 / $1,612.94 / $2,524.79	Professional		$1,306.95	$1,612.94	$2,524.79