Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $821.98 / $821.98 / $3,181.06	Facility		$821.98	$821.98	$3,181.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $821.98 / $891.84 / $1,227.09	Professional		$821.98	$891.84	$1,227.09
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 $1,401.56 / $1,840.64 / $1,840.64	Professional		$1,401.56	$1,840.64	$1,840.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,408.48 / $1,408.48 / $2,278.94	Facility		$1,408.48	$1,408.48	$2,278.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,028.19 / $1,028.19 / $1,995.52	Professional		$1,028.19	$1,028.19	$1,995.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,096.62 / $2,278.94 / $4,329.99	Professional		$2,096.62	$2,278.94	$4,329.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $821.98 / $821.98 / $3,181.06	Facility		$821.98	$821.98	$3,181.06
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $805.87 / $902.57 / $1,496.00	Professional		$805.87	$902.57	$1,496.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,543.60 / $3,108.20 / $4,489.89	Professional		$1,543.60	$3,108.20	$4,489.89
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,408.48 / $1,408.48 / $2,278.94	Facility		$1,408.48	$1,408.48	$2,278.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,028.19 / $1,028.19 / $2,317.13	Professional		$1,028.19	$1,028.19	$2,317.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $879.56 / $879.56 / $1,751.95	Facility		$879.56	$879.56	$1,751.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $879.56 / $1,751.95 / $2,169.13	Professional		$879.56	$1,751.95	$2,169.13
United Facility/Professional Professional Modifier Low / Median / High Price $860.91 / $1,101.47 / $1,659.91	Professional		$860.91	$1,101.47	$1,659.91