Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $968.33 / $968.33 / $3,747.44	Facility		$968.33	$968.33	$3,747.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $925.25 / $1,112.55 / $1,490.61	Professional		$925.25	$1,112.55	$1,490.61
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 $1,791.61 / $2,352.89 / $2,352.89	Professional		$1,791.61	$2,352.89	$2,352.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,549.06 / $1,549.06 / $2,364.33	Facility		$1,549.06	$1,549.06	$2,364.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,130.81 / $1,130.81 / $2,070.29	Professional		$1,130.81	$1,130.81	$2,070.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,175.17 / $2,364.33 / $4,492.22	Professional		$2,175.17	$2,364.33	$4,492.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $968.33 / $968.33 / $3,747.44	Facility		$968.33	$968.33	$3,747.44
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $925.25 / $1,112.55 / $1,778.95	Professional		$925.25	$1,112.55	$1,778.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,601.40 / $3,224.60 / $4,658.20	Professional		$1,601.40	$3,224.60	$4,658.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,549.06 / $1,549.06 / $2,364.33	Facility		$1,549.06	$1,549.06	$2,364.33
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,130.81 / $1,130.81 / $3,056.63	Professional		$1,130.81	$1,130.81	$3,056.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,682.22 / $2,239.51 / $2,239.51	Facility		$1,682.22	$2,239.51	$2,239.51
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,682.22 / $2,239.51 / $2,509.64	Professional		$1,682.22	$2,239.51	$2,509.64
United Facility/Professional Professional Modifier Low / Median / High Price $983.84 / $1,212.96 / $2,364.33	Professional		$983.84	$1,212.96	$2,364.33