Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $688.39 / $688.39 / $2,664.07	Facility		$688.39	$688.39	$2,664.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $603.25 / $728.89 / $1,057.10	Professional		$603.25	$728.89	$1,057.10
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 $1,173.78 / $1,541.50 / $1,541.50	Professional		$1,173.78	$1,541.50	$1,541.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $963.22 / $963.22 / $1,541.50	Facility		$963.22	$963.22	$1,541.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $703.15 / $703.15 / $1,349.79	Professional		$703.15	$703.15	$1,349.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,418.18 / $1,541.50 / $2,928.85	Professional		$1,418.18	$1,541.50	$2,928.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $688.39 / $688.39 / $2,664.07	Facility		$688.39	$688.39	$2,664.07
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $603.25 / $755.88 / $1,252.86	Professional		$603.25	$755.88	$1,252.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,044.09 / $2,102.40 / $3,037.00	Professional		$1,044.09	$2,102.40	$3,037.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $963.22 / $963.22 / $1,541.50	Facility		$963.22	$963.22	$1,541.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $703.15 / $703.15 / $2,064.00	Professional		$703.15	$703.15	$2,064.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $736.61 / $736.61 / $1,467.22	Facility		$736.61	$736.61	$1,467.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $736.61 / $1,467.22 / $1,496.56	Professional		$736.61	$1,467.22	$1,496.56
United Facility/Professional Professional Modifier Low / Median / High Price $720.99 / $924.90 / $1,426.55	Professional		$720.99	$924.90	$1,426.55