Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $961.51 / $961.51 / $3,721.04	Facility		$961.51	$961.51	$3,721.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $871.69 / $1,018.07 / $1,279.25	Professional		$871.69	$1,018.07	$1,279.25
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 $1,639.47 / $2,153.08 / $2,153.08	Professional		$1,639.47	$2,153.08	$2,153.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,271.83 / $1,271.83 / $2,276.61	Facility		$1,271.83	$1,271.83	$2,276.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $928.44 / $928.44 / $1,993.48	Professional		$928.44	$928.44	$1,993.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,094.48 / $2,276.61 / $4,325.56	Professional		$2,094.48	$2,276.61	$4,325.56
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $961.51 / $961.51 / $3,721.04	Facility		$961.51	$961.51	$3,721.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $864.84 / $1,018.07 / $1,749.95	Professional		$864.84	$1,018.07	$1,749.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,542.00 / $3,105.00 / $4,485.30	Professional		$1,542.00	$3,105.00	$4,485.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,271.83 / $1,271.83 / $2,276.61	Facility		$1,271.83	$1,271.83	$2,276.61
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $928.44 / $928.44 / $2,707.13	Professional		$928.44	$928.44	$2,707.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,028.86 / $1,028.86 / $2,049.34	Facility		$1,028.86	$1,028.86	$2,049.34
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,028.86 / $2,049.34 / $2,166.91	Professional		$1,028.86	$2,049.34	$2,166.91
United Facility/Professional Professional Modifier Low / Median / High Price $1,007.05 / $1,207.84 / $1,881.19	Professional		$1,007.05	$1,207.84	$1,881.19