Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $708.04 / $708.04 / $2,740.11	Facility		$708.04	$708.04	$2,740.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $673.27 / $813.49 / $1,038.76	Professional		$673.27	$813.49	$1,038.76
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 $1,310.02 / $1,720.43 / $1,720.43	Professional		$1,310.02	$1,720.43	$1,720.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.63 / $1,212.63 / $1,720.43	Facility		$1,212.63	$1,212.63	$1,720.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $885.22 / $885.22 / $1,506.47	Professional		$885.22	$885.22	$1,506.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,582.80 / $1,720.43 / $3,268.82	Professional		$1,582.80	$1,720.43	$3,268.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $708.04 / $708.04 / $2,740.11	Facility		$708.04	$708.04	$2,740.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $673.27 / $813.49 / $1,230.95	Professional		$673.27	$813.49	$1,230.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,165.30 / $2,346.40 / $3,389.60	Professional		$1,165.30	$2,346.40	$3,389.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,212.63 / $1,212.63 / $1,720.43	Facility		$1,212.63	$1,212.63	$1,720.43
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $885.22 / $885.22 / $2,173.13	Professional		$885.22	$885.22	$2,173.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,230.04 / $1,637.53 / $1,637.53	Facility		$1,230.04	$1,637.53	$1,637.53
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,230.04 / $1,637.53 / $1,784.23	Professional		$1,230.04	$1,637.53	$1,784.23
United Facility/Professional Professional Modifier Low / Median / High Price $715.25 / $866.88 / $1,551.49	Professional		$715.25	$866.88	$1,551.49