Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.96 / $950.96 / $3,680.22	Facility		$950.96	$950.96	$3,680.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $895.08 / $1,092.58 / $1,402.71	Professional		$895.08	$1,092.58	$1,402.71
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 $1,759.47 / $2,310.67 / $2,310.67	Professional		$1,759.47	$2,310.67	$2,310.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,499.97 / $1,499.97 / $2,287.23	Facility		$1,499.97	$1,499.97	$2,287.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,094.98 / $1,094.98 / $2,002.78	Professional		$1,094.98	$1,094.98	$2,002.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,104.25 / $2,287.23 / $4,345.74	Professional		$2,104.25	$2,287.23	$4,345.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $950.96 / $950.96 / $3,680.22	Facility		$950.96	$950.96	$3,680.22
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $895.08 / $1,092.58 / $1,625.04	Professional		$895.08	$1,092.58	$1,625.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,549.20 / $3,119.50 / $4,506.30	Professional		$1,549.20	$3,119.50	$4,506.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,499.97 / $1,499.97 / $2,287.23	Facility		$1,499.97	$1,499.97	$2,287.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,094.98 / $1,094.98 / $2,832.38	Professional		$1,094.98	$1,094.98	$2,832.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,652.03 / $2,199.34 / $2,199.34	Facility		$1,652.03	$2,199.34	$2,199.34
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,652.03 / $2,199.34 / $2,325.46	Professional		$1,652.03	$2,199.34	$2,325.46
United Facility/Professional Professional Modifier Low / Median / High Price $956.39 / $1,157.64 / $2,083.79	Professional		$956.39	$1,157.64	$2,083.79