Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $998.62 / $998.62 / $3,864.66	Facility		$998.62	$998.62	$3,864.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $931.31 / $1,057.35 / $1,324.53	Professional		$931.31	$1,057.35	$1,324.53
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 $1,702.74 / $2,236.17 / $2,236.17	Professional		$1,702.74	$2,236.17	$2,236.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,367.82 / $1,367.82 / $2,513.51	Facility		$1,367.82	$1,367.82	$2,513.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $998.51 / $998.51 / $2,219.10	Professional		$998.51	$998.51	$2,219.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,331.54 / $2,534.28 / $4,815.13	Professional		$2,331.54	$2,534.28	$4,815.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $998.62 / $998.62 / $3,864.66	Facility		$998.62	$998.62	$3,864.66
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $931.31 / $1,057.35 / $1,817.49	Professional		$931.31	$1,057.35	$1,817.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,716.50 / $3,456.40 / $4,993.00	Professional		$1,716.50	$3,456.40	$4,993.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,367.82 / $1,367.82 / $2,513.51	Facility		$1,367.82	$1,367.82	$2,513.51
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $998.51 / $998.51 / $2,451.38	Professional		$998.51	$998.51	$2,451.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,068.57 / $1,068.57 / $2,128.42	Facility		$1,068.57	$1,068.57	$2,128.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,068.57 / $2,128.42 / $2,412.16	Professional		$1,068.57	$2,128.42	$2,412.16
United Facility/Professional Facility Modifier Low / Median / High Price $785.65 / $1,347.44 / $1,536.34	Facility		$785.65	$1,347.44	$1,536.34
United Facility/Professional Professional Modifier Low / Median / High Price $1,008.31 / $1,264.33 / $1,891.73	Professional		$1,008.31	$1,264.33	$1,891.73