Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $729.34 / $729.34 / $2,822.55	Facility		$729.34	$729.34	$2,822.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $725.32 / $806.93 / $1,250.38	Professional		$725.32	$806.93	$1,250.38
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 $1,349.42 / $1,772.18 / $1,772.18	Professional		$1,349.42	$1,772.18	$1,772.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,107.01 / $1,107.01 / $1,960.01	Facility		$1,107.01	$1,107.01	$1,960.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $808.12 / $808.12 / $1,716.26	Professional		$808.12	$808.12	$1,716.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,803.21 / $1,960.01 / $3,724.02	Professional		$1,803.21	$1,960.01	$3,724.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $729.34 / $729.34 / $2,822.55	Facility		$729.34	$729.34	$2,822.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $725.32 / $837.96 / $1,329.48	Professional		$725.32	$837.96	$1,329.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,327.60 / $2,622.83 / $3,861.60	Professional		$1,327.60	$2,622.83	$3,861.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,107.01 / $1,107.01 / $1,960.01	Facility		$1,107.01	$1,107.01	$1,960.01
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $808.12 / $808.12 / $2,698.88	Professional		$808.12	$808.12	$2,698.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $846.84 / $846.84 / $1,686.78	Facility		$846.84	$846.84	$1,686.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $846.84 / $1,686.78 / $1,865.57	Professional		$846.84	$1,686.78	$1,865.57
United Facility/Professional Professional Modifier Low / Median / High Price $740.79 / $957.79 / $1,598.16	Professional		$740.79	$957.79	$1,598.16