Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.72 / $873.72 / $3,381.30	Facility		$873.72	$873.72	$3,381.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $830.81 / $966.66 / $1,174.29	Professional		$830.81	$966.66	$1,174.29
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 $1,616.56 / $2,123.00 / $2,123.00	Professional		$1,616.56	$2,123.00	$2,123.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,407.05 / $1,407.05 / $2,123.00	Facility		$1,407.05	$1,407.05	$2,123.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,027.15 / $1,027.15 / $2,521.50	Professional		$1,027.15	$1,027.15	$2,521.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,953.16 / $2,123.00 / $4,033.70	Professional		$1,953.16	$2,123.00	$4,033.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $873.72 / $873.72 / $3,381.30	Facility		$873.72	$873.72	$3,381.30
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $830.81 / $1,003.84 / $1,380.31	Professional		$830.81	$1,003.84	$1,380.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,632.30 / $3,027.10 / $4,182.70	Professional		$2,632.30	$3,027.10	$4,182.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,407.05 / $1,407.05 / $2,123.00	Facility		$1,407.05	$1,407.05	$2,123.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,027.15 / $1,027.15 / $2,521.50	Professional		$1,027.15	$1,027.15	$2,521.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,517.85 / $2,020.70 / $2,020.70	Facility		$1,517.85	$2,020.70	$2,020.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,517.85 / $2,020.70 / $2,070.32	Professional		$1,517.85	$2,020.70	$2,070.32
United Facility/Professional Professional Modifier Low / Median / High Price $730.13 / $1,059.14 / $1,914.54	Professional		$730.13	$1,059.14	$1,914.54