Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $700.79 / $700.79 / $2,712.06	Facility		$700.79	$700.79	$2,712.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $615.26 / $742.01 / $911.31	Professional		$615.26	$742.01	$911.31
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 $1,194.92 / $1,569.26 / $1,569.26	Professional		$1,194.92	$1,569.26	$1,569.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,105.99 / $1,105.99 / $1,661.84	Facility		$1,105.99	$1,105.99	$1,661.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $807.37 / $807.37 / $1,455.16	Professional		$807.37	$807.37	$1,455.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,528.89 / $1,661.84 / $3,157.50	Professional		$1,528.89	$1,661.84	$3,157.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $700.79 / $700.79 / $2,712.06	Facility		$700.79	$700.79	$2,712.06
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $610.71 / $742.01 / $1,047.72	Professional		$610.71	$742.01	$1,047.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,125.59 / $2,266.50 / $3,274.10	Professional		$1,125.59	$2,266.50	$3,274.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,105.99 / $1,105.99 / $1,661.84	Facility		$1,105.99	$1,105.99	$1,661.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $807.37 / $807.37 / $1,982.25	Professional		$807.37	$807.37	$1,982.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $749.87 / $749.87 / $1,493.65	Facility		$749.87	$749.87	$1,493.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $749.87 / $1,493.65 / $1,581.76	Professional		$749.87	$1,493.65	$1,581.76
United Facility/Professional Professional Modifier Low / Median / High Price $707.59 / $848.13 / $1,415.18	Professional		$707.59	$848.13	$1,415.18