Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $932.26 / $932.26 / $3,607.85	Facility		$932.26	$932.26	$3,607.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $816.96 / $987.10 / $1,316.14	Professional		$816.96	$987.10	$1,316.14
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 $1,589.61 / $2,087.60 / $2,087.60	Professional		$1,589.61	$2,087.60	$2,087.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,620.00 / $1,620.00 / $2,087.60	Facility		$1,620.00	$1,620.00	$2,087.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,182.59 / $1,182.59 / $1,827.97	Professional		$1,182.59	$1,182.59	$1,827.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,920.59 / $2,087.60 / $3,966.44	Professional		$1,920.59	$2,087.60	$3,966.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $932.26 / $932.26 / $3,607.85	Facility		$932.26	$932.26	$3,607.85
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $816.96 / $1,023.66 / $1,696.71	Professional		$816.96	$1,023.66	$1,696.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,414.00 / $2,847.20 / $4,112.89	Professional		$1,414.00	$2,847.20	$4,112.89
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,620.00 / $1,620.00 / $2,087.60	Facility		$1,620.00	$1,620.00	$2,087.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,182.59 / $1,182.59 / $2,903.25	Professional		$1,182.59	$1,182.59	$2,903.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $997.57 / $997.57 / $1,987.01	Facility		$997.57	$997.57	$1,987.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $997.57 / $1,987.01 / $2,026.75	Professional		$997.57	$1,987.01	$2,026.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,365.94 / $2,783.46 / $3,340.15	Facility		$2,365.94	$2,783.46	$3,340.15
United Facility/Professional Professional Modifier Low / Median / High Price $980.35 / $1,252.56 / $1,882.62	Professional		$980.35	$1,252.56	$1,882.62