Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $837.26 / $996.01 / $1,359.00	Facility		$837.26	$996.01	$1,359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $813.70 / $871.79 / $1,105.80	Professional		$813.70	$871.79	$1,105.80
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 $817.80 / $848.66 / $1,425.73	Professional		$817.80	$848.66	$1,425.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $994.78 / $999.53 / $1,858.28	Facility		$994.78	$999.53	$1,858.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $808.15 / $1,161.33 / $1,836.00	Professional		$808.15	$1,161.33	$1,836.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.45 / $1,291.71 / $1,708.53	Professional		$1,000.45	$1,291.71	$1,708.53
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $996.01 / $996.01 / $1,812.00	Facility		$996.01	$996.01	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $813.70 / $896.10 / $1,105.80	Professional		$813.70	$896.10	$1,105.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,151.30 / $1,953.00 / $1,953.00	Professional		$1,151.30	$1,953.00	$1,953.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $877.08 / $999.53 / $1,548.57	Facility		$877.08	$999.53	$1,548.57
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $808.15 / $1,183.35 / $1,999.53	Professional		$808.15	$1,183.35	$1,999.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $870.41 / $870.41 / $969.45	Facility		$870.41	$870.41	$969.45
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $853.26 / $870.41 / $969.45	Professional		$853.26	$870.41	$969.45
United Facility/Professional Professional Modifier Low / Median / High Price $868.92 / $1,098.38 / $1,938.74	Professional		$868.92	$1,098.38	$1,938.74