Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $737.70 / $737.70 / $2,854.90	Facility		$737.70	$737.70	$2,854.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $650.34 / $781.09 / $1,091.08	Professional		$650.34	$781.09	$1,091.08
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 $1,257.84 / $1,651.91 / $1,651.91	Professional		$1,257.84	$1,651.91	$1,651.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,324.18 / $1,324.18 / $1,661.84	Facility		$1,324.18	$1,324.18	$1,661.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $966.65 / $966.65 / $1,455.16	Professional		$966.65	$966.65	$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 $737.70 / $737.70 / $2,854.90	Facility		$737.70	$737.70	$2,854.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $650.34 / $781.09 / $1,169.02	Professional		$650.34	$781.09	$1,169.02
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 $1,324.18 / $1,324.18 / $1,661.84	Facility		$1,324.18	$1,324.18	$1,661.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $966.65 / $966.65 / $2,373.00	Professional		$966.65	$966.65	$2,373.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $789.36 / $789.36 / $1,572.31	Facility		$789.36	$789.36	$1,572.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $789.36 / $1,572.31 / $1,603.76	Professional		$789.36	$1,572.31	$1,603.76
United Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $640.00	Facility		$640.00	$640.00	$640.00
United Facility/Professional Professional Modifier Low / Median / High Price $772.63 / $991.15 / $1,489.69	Professional		$772.63	$991.15	$1,489.69