Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $837.79 / $837.79 / $3,242.25	Facility		$837.79	$837.79	$3,242.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $833.17 / $957.73 / $1,383.10	Professional		$833.17	$957.73	$1,383.10
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 $1,550.09 / $2,035.70 / $2,035.70	Professional		$1,550.09	$2,035.70	$2,035.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,206.80 / $1,206.80 / $2,349.67	Facility		$1,206.80	$1,206.80	$2,349.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $880.96 / $880.96 / $2,057.46	Professional		$880.96	$880.96	$2,057.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,161.71 / $2,349.67 / $4,464.39	Professional		$2,161.71	$2,349.67	$4,464.39
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $837.79 / $837.79 / $3,242.25	Facility		$837.79	$837.79	$3,242.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $801.72 / $962.57 / $1,481.37	Professional		$801.72	$962.57	$1,481.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,591.50 / $3,204.60 / $4,629.30	Professional		$1,591.50	$3,204.60	$4,629.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,206.80 / $1,206.80 / $2,349.67	Facility		$1,206.80	$1,206.80	$2,349.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $880.96 / $880.96 / $2,985.38	Professional		$880.96	$880.96	$2,985.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,455.43 / $1,937.61 / $1,937.61	Facility		$1,455.43	$1,937.61	$1,937.61
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,455.43 / $1,937.61 / $2,451.00	Professional		$1,455.43	$1,937.61	$2,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $816.61 / $1,025.74 / $1,835.80	Professional		$816.61	$1,025.74	$1,835.80