Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.88 / $935.88 / $3,621.86	Facility		$935.88	$935.88	$3,621.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $889.92 / $1,035.44 / $1,257.82	Professional		$889.92	$1,035.44	$1,257.82
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 $1,731.58 / $2,274.06 / $2,274.06	Professional		$1,731.58	$2,274.06	$2,274.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,300.55 / $1,300.55 / $2,274.06	Facility		$1,300.55	$1,300.55	$2,274.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $949.40 / $949.40 / $2,701.13	Professional		$949.40	$949.40	$2,701.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,092.14 / $2,274.06 / $4,320.71	Professional		$2,092.14	$2,274.06	$4,320.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $935.88 / $935.88 / $3,621.86	Facility		$935.88	$935.88	$3,621.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $889.91 / $1,075.27 / $1,463.75	Professional		$889.91	$1,075.27	$1,463.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,819.50 / $3,242.50 / $4,480.30	Professional		$2,819.50	$3,242.50	$4,480.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,300.55 / $1,300.55 / $2,274.06	Facility		$1,300.55	$1,300.55	$2,274.06
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $949.40 / $949.40 / $2,701.13	Professional		$949.40	$949.40	$2,701.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,625.84 / $2,164.48 / $2,164.48	Facility		$1,625.84	$2,164.48	$2,164.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,625.84 / $2,164.48 / $2,217.64	Professional		$1,625.84	$2,164.48	$2,217.64
United Facility/Professional Professional Modifier Low / Median / High Price $865.31 / $1,134.50 / $1,947.58	Professional		$865.31	$1,134.50	$1,947.58