Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $809.04 / $809.04 / $3,130.98	Facility		$809.04	$809.04	$3,130.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $809.04 / $883.00 / $1,150.30	Professional		$809.04	$883.00	$1,150.30
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 $1,379.50 / $1,811.66 / $1,811.66	Professional		$1,379.50	$1,811.66	$1,811.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,349.13 / $1,349.13 / $2,256.36	Facility		$1,349.13	$1,349.13	$2,256.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $984.86 / $984.86 / $2,417.63	Professional		$984.86	$984.86	$2,417.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,075.85 / $2,256.36 / $4,287.08	Professional		$2,075.85	$2,256.36	$4,287.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $809.04 / $809.04 / $3,130.98	Facility		$809.04	$809.04	$3,130.98
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $793.18 / $888.36 / $1,472.45	Professional		$793.18	$888.36	$1,472.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,528.30 / $3,077.40 / $4,445.39	Professional		$1,528.30	$3,077.40	$4,445.39
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,349.13 / $1,349.13 / $2,256.36	Facility		$1,349.13	$1,349.13	$2,256.36
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $984.86 / $984.86 / $2,417.63	Professional		$984.86	$984.86	$2,417.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $865.70 / $865.70 / $1,724.37	Facility		$865.70	$865.70	$1,724.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $865.70 / $1,724.37 / $2,147.64	Professional		$865.70	$1,724.37	$2,147.64
United Facility/Professional Professional Modifier Low / Median / High Price $847.35 / $1,087.00 / $1,633.76	Professional		$847.35	$1,087.00	$1,633.76