Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $865.66 / $865.66 / $3,350.10	Facility		$865.66	$865.66	$3,350.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $736.03 / $916.58 / $1,229.52	Professional		$736.03	$916.58	$1,229.52
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 $1,476.03 / $1,938.44 / $1,938.44	Professional		$1,476.03	$1,938.44	$1,938.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,576.65 / $1,576.65 / $1,880.80	Facility		$1,576.65	$1,576.65	$1,880.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,150.95 / $1,150.95 / $1,646.90	Professional		$1,150.95	$1,150.95	$1,646.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,730.34 / $1,880.80 / $3,573.52	Professional		$1,730.34	$1,880.80	$3,573.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $865.66 / $865.66 / $3,350.10	Facility		$865.66	$865.66	$3,350.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $736.03 / $916.58 / $1,391.91	Professional		$736.03	$916.58	$1,391.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,273.90 / $2,565.19 / $3,705.50	Professional		$1,273.90	$2,565.19	$3,705.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,576.65 / $1,576.65 / $1,880.80	Facility		$1,576.65	$1,576.65	$1,880.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,150.95 / $1,150.95 / $2,825.63	Professional		$1,150.95	$1,150.95	$2,825.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $926.30 / $926.30 / $1,845.04	Facility		$926.30	$926.30	$1,845.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $926.30 / $1,845.04 / $1,881.94	Professional		$926.30	$1,845.04	$1,881.94
United Facility/Professional Professional Modifier Low / Median / High Price $874.05 / $1,163.06 / $1,748.10	Professional		$874.05	$1,163.06	$1,748.10