Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $823.96 / $823.96 / $3,188.73	Facility		$823.96	$823.96	$3,188.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $819.42 / $946.68 / $1,297.45	Professional		$819.42	$946.68	$1,297.45
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 $1,524.50 / $2,002.10 / $2,002.10	Professional		$1,524.50	$2,002.10	$2,002.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,304.10 / $1,304.10 / $2,144.42	Facility		$1,304.10	$1,304.10	$2,144.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $952.00 / $952.00 / $1,877.73	Professional		$952.00	$952.00	$1,877.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,972.87 / $2,144.42 / $4,074.40	Professional		$1,972.87	$2,144.42	$4,074.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $823.96 / $823.96 / $3,188.73	Facility		$823.96	$823.96	$3,188.73
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $819.42 / $946.68 / $1,524.50	Professional		$819.42	$946.68	$1,524.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,658.80 / $3,057.60 / $4,224.89	Professional		$2,658.80	$3,057.60	$4,224.89
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,304.10 / $1,304.10 / $2,144.42	Facility		$1,304.10	$1,304.10	$2,144.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $952.00 / $952.00 / $2,545.13	Professional		$952.00	$952.00	$2,545.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,431.42 / $1,905.63 / $1,905.63	Facility		$1,431.42	$1,905.63	$1,905.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,431.42 / $1,905.63 / $2,089.58	Professional		$1,431.42	$1,905.63	$2,089.58
United Facility/Professional Professional Modifier Low / Median / High Price $837.16 / $1,003.04 / $1,749.28	Professional		$837.16	$1,003.04	$1,749.28