Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $915.98 / $915.98 / $3,544.84	Facility		$915.98	$915.98	$3,544.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $802.69 / $969.86 / $1,431.69	Professional		$802.69	$969.86	$1,431.69
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 $1,561.84 / $2,051.13 / $2,051.13	Professional		$1,561.84	$2,051.13	$2,051.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,637.27 / $1,637.27 / $2,051.13	Facility		$1,637.27	$1,637.27	$2,051.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,195.21 / $1,195.21 / $1,796.04	Professional		$1,195.21	$1,195.21	$1,796.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,887.04 / $2,051.13 / $3,897.15	Professional		$1,887.04	$2,051.13	$3,897.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $915.98 / $915.98 / $3,544.84	Facility		$915.98	$915.98	$3,544.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $802.69 / $969.86 / $1,744.06	Professional		$802.69	$969.86	$1,744.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,389.20 / $2,797.50 / $4,041.10	Professional		$1,389.20	$2,797.50	$4,041.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,637.27 / $1,637.27 / $2,051.13	Facility		$1,637.27	$1,637.27	$2,051.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,195.21 / $1,195.21 / $2,934.00	Professional		$1,195.21	$1,195.21	$2,934.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $980.14 / $980.14 / $1,952.30	Facility		$980.14	$980.14	$1,952.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $980.14 / $1,952.30 / $1,991.35	Professional		$980.14	$1,952.30	$1,991.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,366.91 / $1,366.91 / $1,366.91	Facility		$1,366.91	$1,366.91	$1,366.91
United Facility/Professional Professional Modifier Low / Median / High Price $963.22 / $1,217.20 / $1,705.48	Professional		$963.22	$1,217.20	$1,705.48