Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.99 / $656.99 / $2,542.55	Facility		$656.99	$656.99	$2,542.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $653.37 / $754.84 / $1,071.89	Professional		$653.37	$754.84	$1,071.89
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 $1,215.57 / $1,596.38 / $1,596.38	Professional		$1,215.57	$1,596.38	$1,596.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,030.36 / $1,030.36 / $1,700.18	Facility		$1,030.36	$1,030.36	$1,700.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $752.17 / $752.17 / $1,893.75	Professional		$752.17	$752.17	$1,893.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,564.17 / $1,700.18 / $3,230.34	Professional		$1,564.17	$1,700.18	$3,230.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $656.99 / $656.99 / $2,542.55	Facility		$656.99	$656.99	$2,542.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $653.37 / $768.82 / $1,187.70	Professional		$653.37	$768.82	$1,187.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,108.00 / $2,424.19 / $3,349.70	Professional		$2,108.00	$2,424.19	$3,349.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,030.36 / $1,030.36 / $1,700.18	Facility		$1,030.36	$1,030.36	$1,700.18
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $752.17 / $752.17 / $1,912.69	Professional		$752.17	$752.17	$1,912.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,141.33 / $1,519.46 / $1,519.46	Facility		$1,141.33	$1,519.46	$1,519.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,141.33 / $1,519.46 / $1,618.26	Professional		$1,141.33	$1,519.46	$1,618.26
United Facility/Professional Professional Modifier Low / Median / High Price $667.51 / $804.38 / $1,394.79	Professional		$667.51	$804.38	$1,394.79