Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $638.16 / $638.16 / $2,469.67	Facility		$638.16	$638.16	$2,469.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.76 / $675.70 / $959.17	Professional		$537.76	$675.70	$959.17
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 $1,088.11 / $1,429.00 / $1,429.00	Professional		$1,088.11	$1,429.00	$1,429.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,036.33 / $1,036.33 / $1,374.17	Facility		$1,036.33	$1,036.33	$1,374.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $756.53 / $756.53 / $1,203.27	Professional		$756.53	$756.53	$1,203.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,264.24 / $1,374.17 / $2,610.92	Professional		$1,264.24	$1,374.17	$2,610.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $638.16 / $638.16 / $2,469.67	Facility		$638.16	$638.16	$2,469.67
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $537.76 / $680.13 / $1,161.45	Professional		$537.76	$680.13	$1,161.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $931.30 / $1,874.20 / $2,707.40	Professional		$931.30	$1,874.20	$2,707.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,036.33 / $1,036.33 / $1,374.17	Facility		$1,036.33	$1,036.33	$1,374.17
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $756.53 / $756.53 / $1,857.38	Professional		$756.53	$756.53	$1,857.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $682.85 / $682.85 / $1,360.15	Facility		$682.85	$682.85	$1,360.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $682.85 / $1,360.15 / $1,387.35	Professional		$682.85	$1,360.15	$1,387.35
United Facility/Professional Professional Modifier Low / Median / High Price $668.37 / $857.40 / $1,374.17	Professional		$668.37	$857.40	$1,374.17