Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $877.50 / $877.50 / $3,395.92	Facility		$877.50	$877.50	$3,395.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $872.66 / $978.00 / $1,171.76	Professional		$872.66	$978.00	$1,171.76
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 $1,623.56 / $2,132.19 / $2,132.19	Professional		$1,623.56	$2,132.19	$2,132.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,399.15 / $1,399.15 / $2,499.11	Facility		$1,399.15	$1,399.15	$2,499.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,021.38 / $1,021.38 / $2,188.31	Professional		$1,021.38	$1,021.38	$2,188.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,299.17 / $2,499.11 / $4,748.31	Professional		$2,299.17	$2,499.11	$4,748.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $877.50 / $877.50 / $3,395.92	Facility		$877.50	$877.50	$3,395.92
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $850.78 / $1,008.19 / $1,575.58	Professional		$850.78	$1,008.19	$1,575.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,692.80 / $3,408.50 / $4,923.70	Professional		$1,692.80	$3,408.50	$4,923.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,399.15 / $1,399.15 / $2,499.11	Facility		$1,399.15	$1,399.15	$2,499.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,021.38 / $1,021.38 / $2,507.63	Professional		$1,021.38	$1,021.38	$2,507.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,524.44 / $2,029.45 / $2,029.45	Facility		$1,524.44	$2,029.45	$2,029.45
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,524.44 / $2,029.45 / $2,378.69	Professional		$1,524.44	$2,029.45	$2,378.69
United Facility/Professional Professional Modifier Low / Median / High Price $818.79 / $1,090.32 / $2,162.89	Professional		$818.79	$1,090.32	$2,162.89