Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,475.30 / $1,549.09 / $8,299.00	Facility		$1,475.30	$1,549.09	$8,299.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,373.77 / $1,373.77 / $1,956.69	Professional		$1,373.77	$1,373.77	$1,956.69
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $847.02 / $8,459.92 / $79,506.39	Facility		$847.02	$8,459.92	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $835.10 / $866.61 / $1,420.80	Professional		$835.10	$866.61	$1,420.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $848.93 / $1,890.90 / $3,914.84	Facility		$848.93	$1,890.90	$3,914.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,242.66 / $2,080.09 / $4,342.10	Professional		$1,242.66	$2,080.09	$4,342.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $867.20 / $1,193.58 / $1,324.98	Professional		$867.20	$1,193.58	$1,324.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $558.83 / $3,756.84 / $8,299.00	Facility		$558.83	$3,756.84	$8,299.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $702.30 / $1,579.83 / $1,956.69	Professional		$702.30	$1,579.83	$1,956.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,272.00 / $1,765.79 / $1,911.45	Professional		$1,272.00	$1,765.79	$1,911.45
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $850.64 / $1,865.39 / $3,770.57	Facility		$850.64	$1,865.39	$3,770.57
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,242.66 / $2,080.09 / $4,342.10	Professional		$1,242.66	$2,080.09	$4,342.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $712.86 / $816.55 / $816.55	Facility		$712.86	$816.55	$816.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $712.86 / $832.88 / $1,004.09	Professional		$712.86	$832.88	$1,004.09
United Facility/Professional Professional Modifier Low / Median / High Price $82.86 / $898.21 / $1,588.48	Professional		$82.86	$898.21	$1,588.48