Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $770.79 / $770.79 / $2,982.96	Facility		$770.79	$770.79	$2,982.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $770.79 / $825.23 / $1,114.17	Professional		$770.79	$825.23	$1,114.17
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 $1,314.27 / $1,726.01 / $1,726.01	Professional		$1,314.27	$1,726.01	$1,726.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,232.72 / $1,232.72 / $2,108.73	Facility		$1,232.72	$1,232.72	$2,108.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.89 / $899.89 / $1,846.49	Professional		$899.89	$899.89	$1,846.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,940.04 / $2,108.73 / $4,006.61	Professional		$1,940.04	$2,108.73	$4,006.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $770.79 / $770.79 / $2,982.96	Facility		$770.79	$770.79	$2,982.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $755.68 / $846.36 / $1,402.84	Professional		$755.68	$846.36	$1,402.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,428.30 / $2,876.00 / $4,154.60	Professional		$1,428.30	$2,876.00	$4,154.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,232.72 / $1,232.72 / $2,108.73	Facility		$1,232.72	$1,232.72	$2,108.73
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $899.89 / $899.89 / $2,209.13	Professional		$899.89	$899.89	$2,209.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $824.77 / $824.77 / $1,642.84	Facility		$824.77	$824.77	$1,642.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $824.77 / $1,642.84 / $2,007.13	Professional		$824.77	$1,642.84	$2,007.13
United Facility/Professional Professional Modifier Low / Median / High Price $807.29 / $1,035.60 / $1,556.53	Professional		$807.29	$1,035.60	$1,556.53