Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.07 / $863.07 / $3,340.08	Facility		$863.07	$863.07	$3,340.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $858.31 / $956.13 / $1,125.40	Professional		$858.31	$956.13	$1,125.40
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 $1,596.86 / $2,097.12 / $2,097.12	Professional		$1,596.86	$2,097.12	$2,097.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,207.09 / $1,207.09 / $2,327.35	Facility		$1,207.09	$1,207.09	$2,327.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $881.18 / $881.18 / $2,037.90	Professional		$881.18	$881.18	$2,037.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,141.16 / $2,327.35 / $4,421.97	Professional		$2,141.16	$2,327.35	$4,421.97
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $863.07 / $863.07 / $3,340.08	Facility		$863.07	$863.07	$3,340.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $800.39 / $991.61 / $1,467.29	Professional		$800.39	$991.61	$1,467.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,576.40 / $3,174.20 / $4,585.30	Professional		$1,576.40	$3,174.20	$4,585.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,207.09 / $1,207.09 / $2,327.35	Facility		$1,207.09	$1,207.09	$2,327.35
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $881.18 / $881.18 / $2,239.50	Professional		$881.18	$881.18	$2,239.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,499.35 / $1,996.07 / $1,996.07	Facility		$1,499.35	$1,996.07	$1,996.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,499.35 / $1,996.07 / $2,215.19	Professional		$1,499.35	$1,996.07	$2,215.19
United Facility/Professional Professional Modifier Low / Median / High Price $803.13 / $1,069.72 / $1,891.19	Professional		$803.13	$1,069.72	$1,891.19