Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $814.73 / $814.73 / $3,153.00	Facility		$814.73	$814.73	$3,153.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $713.95 / $862.65 / $1,227.10	Professional		$713.95	$862.65	$1,227.10
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 $1,389.18 / $1,824.39 / $1,824.39	Professional		$1,389.18	$1,824.39	$1,824.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,573.58 / $1,573.58 / $1,824.39	Facility		$1,573.58	$1,573.58	$1,824.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.71 / $1,148.71 / $1,620.79	Professional		$1,148.71	$1,148.71	$1,620.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,678.44 / $1,824.39 / $3,466.34	Professional		$1,678.44	$1,824.39	$3,466.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $814.73 / $814.73 / $3,153.00	Facility		$814.73	$814.73	$3,153.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $713.95 / $894.60 / $1,482.81	Professional		$713.95	$894.60	$1,482.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,235.70 / $2,488.19 / $3,594.40	Professional		$1,235.70	$2,488.19	$3,594.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,573.58 / $1,573.58 / $1,824.39	Facility		$1,573.58	$1,573.58	$1,824.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.71 / $1,148.71 / $2,820.00	Professional		$1,148.71	$1,148.71	$2,820.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $871.79 / $871.79 / $1,736.48	Facility		$871.79	$871.79	$1,736.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $871.79 / $1,736.48 / $1,771.21	Professional		$871.79	$1,736.48	$1,771.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,261.08 / $1,261.08 / $1,261.08	Facility		$1,261.08	$1,261.08	$1,261.08
United Facility/Professional Professional Modifier Low / Median / High Price $856.74 / $1,094.63 / $1,645.25	Professional		$856.74	$1,094.63	$1,645.25