Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $838.60 / $838.60 / $3,245.38	Facility		$838.60	$838.60	$3,245.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $822.16 / $920.81 / $1,151.45	Professional		$822.16	$920.81	$1,151.45
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 $1,429.89 / $1,877.84 / $1,877.84	Professional		$1,429.89	$1,877.84	$1,877.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,316.65 / $1,316.65 / $2,369.54	Facility		$1,316.65	$1,316.65	$2,369.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $961.15 / $961.15 / $2,074.85	Professional		$961.15	$961.15	$2,074.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,179.98 / $2,369.54 / $4,502.13	Professional		$2,179.98	$2,369.54	$4,502.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $838.60 / $838.60 / $3,245.38	Facility		$838.60	$838.60	$3,245.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $822.16 / $920.81 / $1,493.89	Professional		$822.16	$920.81	$1,493.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,604.90 / $3,231.70 / $4,668.39	Professional		$1,604.90	$3,231.70	$4,668.39
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,316.65 / $1,316.65 / $2,369.54	Facility		$1,316.65	$1,316.65	$2,369.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $961.15 / $961.15 / $2,359.50	Professional		$961.15	$961.15	$2,359.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $897.34 / $897.34 / $1,787.36	Facility		$897.34	$897.34	$1,787.36
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $897.34 / $1,787.36 / $2,255.36	Professional		$897.34	$1,787.36	$2,255.36
United Facility/Professional Professional Modifier Low / Median / High Price $878.31 / $1,126.70 / $1,644.83	Professional		$878.31	$1,126.70	$1,644.83