Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $738.91 / $738.91 / $2,859.58	Facility		$738.91	$738.91	$2,859.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $647.52 / $782.37 / $1,154.92	Professional		$647.52	$782.37	$1,154.92
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 $1,259.91 / $1,654.62 / $1,654.62	Professional		$1,259.91	$1,654.62	$1,654.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,427.14 / $1,427.14 / $1,654.62	Facility		$1,427.14	$1,427.14	$1,654.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,041.81 / $1,041.81 / $1,469.95	Professional		$1,041.81	$1,041.81	$1,469.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,522.25 / $1,654.62 / $3,143.78	Professional		$1,522.25	$1,654.62	$3,143.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $738.91 / $738.91 / $2,859.58	Facility		$738.91	$738.91	$2,859.58
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $647.52 / $782.37 / $1,406.91	Professional		$647.52	$782.37	$1,406.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,120.70 / $2,256.69 / $3,259.90	Professional		$1,120.70	$2,256.69	$3,259.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,427.14 / $1,427.14 / $1,654.62	Facility		$1,427.14	$1,427.14	$1,654.62
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,041.81 / $1,041.81 / $2,557.50	Professional		$1,041.81	$1,041.81	$2,557.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $790.66 / $790.66 / $1,574.89	Facility		$790.66	$790.66	$1,574.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $790.66 / $1,574.89 / $1,606.39	Professional		$790.66	$1,574.89	$1,606.39
United Facility/Professional Professional Modifier Low / Median / High Price $773.90 / $981.90 / $1,492.15	Professional		$773.90	$981.90	$1,492.15