Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.66 / $831.66 / $3,218.52	Facility		$831.66	$831.66	$3,218.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.66 / $965.03 / $1,093.16	Professional		$831.66	$965.03	$1,093.16
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 $1,538.74 / $2,020.79 / $2,020.79	Professional		$1,538.74	$2,020.79	$2,020.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,172.51 / $1,172.51 / $2,441.08	Facility		$1,172.51	$1,172.51	$2,441.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $855.93 / $855.93 / $2,159.29	Professional		$855.93	$855.93	$2,159.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,268.69 / $2,465.98 / $4,685.35	Professional		$2,268.69	$2,465.98	$4,685.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $831.66 / $831.66 / $3,218.52	Facility		$831.66	$831.66	$3,218.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $831.66 / $965.03 / $1,554.69	Professional		$831.66	$965.03	$1,554.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,057.50 / $3,516.10 / $4,858.39	Professional		$3,057.50	$3,516.10	$4,858.39
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,172.51 / $1,172.51 / $2,441.08	Facility		$1,172.51	$1,172.51	$2,441.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $855.93 / $855.93 / $2,316.38	Professional		$855.93	$855.93	$2,316.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,444.79 / $1,923.42 / $1,923.42	Facility		$1,444.79	$1,923.42	$1,923.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,444.79 / $1,923.42 / $2,347.15	Professional		$1,444.79	$1,923.42	$2,347.15
United Facility/Professional Professional Modifier Low / Median / High Price $846.10 / $1,018.24 / $1,822.38	Professional		$846.10	$1,018.24	$1,822.38