Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $824.09 / $824.09 / $3,189.23	Facility		$824.09	$824.09	$3,189.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $824.09 / $949.42 / $1,203.68	Professional		$824.09	$949.42	$1,203.68
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 $1,524.74 / $2,002.40 / $2,002.40	Professional		$1,524.74	$2,002.40	$2,002.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,179.41 / $1,179.41 / $2,426.09	Facility		$1,179.41	$1,179.41	$2,426.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $860.97 / $860.97 / $2,124.37	Professional		$860.97	$860.97	$2,124.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,232.00 / $2,426.09 / $4,609.57	Professional		$2,232.00	$2,426.09	$4,609.57
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $824.09 / $824.09 / $3,189.23	Facility		$824.09	$824.09	$3,189.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $824.09 / $949.42 / $1,529.55	Professional		$824.09	$949.42	$1,529.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,643.30 / $3,308.90 / $4,779.80	Professional		$1,643.30	$3,308.90	$4,779.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,179.41 / $1,179.41 / $2,426.09	Facility		$1,179.41	$1,179.41	$2,426.09
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $860.97 / $860.97 / $2,188.13	Professional		$860.97	$860.97	$2,188.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,431.63 / $1,905.92 / $1,905.92	Facility		$1,431.63	$1,905.92	$1,905.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,431.63 / $1,905.92 / $2,309.19	Professional		$1,431.63	$1,905.92	$2,309.19
United Facility/Professional Professional Modifier Low / Median / High Price $789.23 / $1,009.95 / $1,664.97	Professional		$789.23	$1,009.95	$1,664.97