Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $829.37 / $829.37 / $3,209.66	Facility		$829.37	$829.37	$3,209.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $788.63 / $917.60 / $1,114.67	Professional		$788.63	$917.60	$1,114.67
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 $1,534.50 / $2,015.23 / $2,015.23	Professional		$1,534.50	$2,015.23	$2,015.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,335.63 / $1,335.63 / $2,015.23	Facility		$1,335.63	$1,335.63	$2,015.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $975.01 / $975.01 / $1,764.61	Professional		$975.01	$975.01	$1,764.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,854.01 / $2,015.23 / $3,828.94	Professional		$1,854.01	$2,015.23	$3,828.94
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $829.37 / $829.37 / $3,209.66	Facility		$829.37	$829.37	$3,209.66
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $788.63 / $952.89 / $1,310.23	Professional		$788.63	$952.89	$1,310.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,498.60 / $2,873.40 / $3,970.40	Professional		$2,498.60	$2,873.40	$3,970.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,335.63 / $1,335.63 / $2,015.23	Facility		$1,335.63	$1,335.63	$2,015.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $975.01 / $975.01 / $2,393.63	Professional		$975.01	$975.01	$2,393.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,440.80 / $1,918.13 / $1,918.13	Facility		$1,440.80	$1,918.13	$1,918.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,440.80 / $1,918.13 / $1,965.22	Professional		$1,440.80	$1,918.13	$1,965.22
United Facility/Professional Professional Modifier Low / Median / High Price $771.24 / $1,005.38 / $1,675.63	Professional		$771.24	$1,005.38	$1,675.63