Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $887.92 / $887.92 / $3,436.25	Facility		$887.92	$887.92	$3,436.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $778.09 / $940.15 / $1,211.56	Professional		$778.09	$940.15	$1,211.56
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 $1,513.99 / $1,988.29 / $1,988.29	Professional		$1,513.99	$1,988.29	$1,988.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,317.79 / $1,317.79 / $1,988.29	Facility		$1,317.79	$1,317.79	$1,988.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $961.99 / $961.99 / $1,741.02	Professional		$961.99	$961.99	$1,741.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,829.23 / $1,988.29 / $3,777.75	Professional		$1,829.23	$1,988.29	$3,777.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $887.92 / $887.92 / $3,436.25	Facility		$887.92	$887.92	$3,436.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $778.09 / $974.97 / $1,616.01	Professional		$778.09	$974.97	$1,616.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,465.19 / $2,835.00 / $3,917.30	Professional		$2,465.19	$2,835.00	$3,917.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,317.79 / $1,317.79 / $1,988.29	Facility		$1,317.79	$1,317.79	$1,988.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $961.99 / $961.99 / $2,361.75	Professional		$961.99	$961.99	$2,361.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,892.49 / $1,892.49 / $1,960.08	Facility		$1,892.49	$1,892.49	$1,960.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,892.49 / $1,930.34 / $1,960.08	Professional		$1,892.49	$1,930.34	$1,960.08
United Facility/Professional Professional Modifier Low / Median / High Price $907.89 / $1,077.91 / $1,684.30	Professional		$907.89	$1,077.91	$1,684.30