Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $792.53 / $792.53 / $3,067.09	Facility		$792.53	$792.53	$3,067.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $729.21 / $839.15 / $1,208.59	Professional		$729.21	$839.15	$1,208.59
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 $1,351.34 / $1,774.70 / $1,774.70	Professional		$1,351.34	$1,774.70	$1,774.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,530.70 / $1,530.70 / $1,863.38	Facility		$1,530.70	$1,530.70	$1,863.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,117.41 / $1,117.41 / $2,743.13	Professional		$1,117.41	$1,117.41	$2,743.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,714.31 / $1,863.38 / $3,540.42	Professional		$1,714.31	$1,863.38	$3,540.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $792.53 / $792.53 / $3,067.09	Facility		$792.53	$792.53	$3,067.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $728.03 / $839.15 / $1,472.29	Professional		$728.03	$839.15	$1,472.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,262.09 / $2,541.40 / $3,671.20	Professional		$1,262.09	$2,541.40	$3,671.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,530.70 / $1,530.70 / $1,863.38	Facility		$1,530.70	$1,530.70	$1,863.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,117.41 / $1,117.41 / $2,743.13	Professional		$1,117.41	$1,117.41	$2,743.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $848.04 / $848.04 / $1,689.18	Facility		$848.04	$848.04	$1,689.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $848.04 / $1,689.18 / $1,773.60	Professional		$848.04	$1,689.18	$1,773.60
United Facility/Professional Professional Modifier Low / Median / High Price $830.06 / $1,000.27 / $1,600.43	Professional		$830.06	$1,000.27	$1,600.43