Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $947.83 / $947.83 / $3,668.10	Facility		$947.83	$947.83	$3,668.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.32 / $1,089.00 / $1,589.78	Professional		$891.32	$1,089.00	$1,589.78
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 $1,753.69 / $2,303.08 / $2,303.08	Professional		$1,753.69	$2,303.08	$2,303.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,703.99 / $1,703.99 / $2,277.63	Facility		$1,703.99	$1,703.99	$2,277.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,243.91 / $1,243.91 / $1,994.37	Professional		$1,243.91	$1,243.91	$1,994.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,095.42 / $2,277.63 / $4,327.50	Professional		$2,095.42	$2,277.63	$4,327.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $947.83 / $947.83 / $3,668.10	Facility		$947.83	$947.83	$3,668.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $891.32 / $1,089.00 / $1,936.64	Professional		$891.32	$1,089.00	$1,936.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,542.60 / $3,106.40 / $4,487.30	Professional		$1,542.60	$3,106.40	$4,487.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,703.99 / $1,703.99 / $2,277.63	Facility		$1,703.99	$1,703.99	$2,277.63
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,243.91 / $1,243.91 / $2,780.63	Professional		$1,243.91	$1,243.91	$2,780.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,646.60 / $2,192.11 / $2,192.11	Facility		$1,646.60	$2,192.11	$2,192.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,646.60 / $2,192.11 / $2,283.02	Professional		$1,646.60	$2,192.11	$2,283.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,520.62 / $1,520.62 / $1,520.62	Facility		$1,520.62	$1,520.62	$1,520.62
United Facility/Professional Professional Modifier Low / Median / High Price $952.37 / $1,160.47 / $2,012.25	Professional		$952.37	$1,160.47	$2,012.25