Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $780.34 / $780.34 / $3,019.92	Facility		$780.34	$780.34	$3,019.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $683.82 / $826.24 / $1,101.66	Professional		$683.82	$826.24	$1,101.66
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 $1,330.56 / $1,747.40 / $1,747.40	Professional		$1,330.56	$1,747.40	$1,747.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,375.24 / $1,375.24 / $1,747.40	Facility		$1,375.24	$1,375.24	$1,747.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,003.93 / $1,003.93 / $1,530.08	Professional		$1,003.93	$1,003.93	$1,530.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,607.61 / $1,747.40 / $3,320.06	Professional		$1,607.61	$1,747.40	$3,320.06
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $780.34 / $780.34 / $3,019.92	Facility		$780.34	$780.34	$3,019.92
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $683.82 / $856.84 / $1,420.22	Professional		$683.82	$856.84	$1,420.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,183.59 / $2,383.19 / $3,442.70	Professional		$1,183.59	$2,383.19	$3,442.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,375.24 / $1,375.24 / $1,747.40	Facility		$1,375.24	$1,375.24	$1,747.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,003.93 / $1,003.93 / $2,464.50	Professional		$1,003.93	$1,003.93	$2,464.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $835.00 / $835.00 / $1,663.20	Facility		$835.00	$835.00	$1,663.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $835.00 / $1,663.20 / $1,696.46	Professional		$835.00	$1,663.20	$1,696.46
United Facility/Professional Professional Modifier Low / Median / High Price $787.91 / $1,023.86 / $1,575.82	Professional		$787.91	$1,023.86	$1,575.82