Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.75 / $832.75 / $3,222.74	Facility		$832.75	$832.75	$3,222.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.46 / $921.34 / $1,158.71	Professional		$718.46	$921.34	$1,158.71
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 $1,540.76 / $2,023.44 / $2,023.44	Professional		$1,540.76	$2,023.44	$2,023.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,395.53 / $1,395.53 / $1,835.91	Facility		$1,395.53	$1,395.53	$1,835.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,018.74 / $1,018.74 / $2,500.88	Professional		$1,018.74	$1,018.74	$2,500.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,689.04 / $1,835.91 / $3,488.23	Professional		$1,689.04	$1,835.91	$3,488.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.75 / $832.75 / $3,222.74	Facility		$832.75	$832.75	$3,222.74
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $718.46 / $955.45 / $1,339.10	Professional		$718.46	$955.45	$1,339.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,243.50 / $2,503.90 / $3,617.10	Professional		$1,243.50	$2,503.90	$3,617.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,395.53 / $1,395.53 / $1,835.91	Facility		$1,395.53	$1,395.53	$1,835.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,018.74 / $1,018.74 / $2,500.88	Professional		$1,018.74	$1,018.74	$2,500.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,446.68 / $1,925.95 / $1,925.95	Facility		$1,446.68	$1,925.95	$1,925.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,446.68 / $1,925.95 / $2,053.35	Professional		$1,446.68	$1,925.95	$2,053.35
United Facility/Professional Professional Modifier Low / Median / High Price $741.55 / $1,009.48 / $1,767.93	Professional		$741.55	$1,009.48	$1,767.93