Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $822.07 / $822.07 / $3,181.41	Facility		$822.07	$822.07	$3,181.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $720.39 / $870.43 / $1,121.67	Professional		$720.39	$870.43	$1,121.67
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 $1,401.72 / $1,840.86 / $1,840.86	Professional		$1,401.72	$1,840.86	$1,840.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,329.56 / $1,329.56 / $1,840.86	Facility		$1,329.56	$1,329.56	$1,840.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $970.58 / $970.58 / $2,186.63	Professional		$970.58	$970.58	$2,186.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,693.59 / $1,840.86 / $3,497.63	Professional		$1,693.59	$1,840.86	$3,497.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $822.07 / $822.07 / $3,181.41	Facility		$822.07	$822.07	$3,181.41
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $720.39 / $870.43 / $1,268.28	Professional		$720.39	$870.43	$1,268.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,282.40 / $2,624.80 / $3,626.80	Professional		$2,282.40	$2,624.80	$3,626.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,329.56 / $1,329.56 / $1,840.86	Facility		$1,329.56	$1,329.56	$1,840.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $970.58 / $970.58 / $2,208.48	Professional		$970.58	$970.58	$2,208.48
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,316.13 / $1,752.15 / $1,752.15	Facility		$1,316.13	$1,752.15	$1,752.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,316.13 / $1,752.15 / $1,795.15	Professional		$1,316.13	$1,752.15	$1,795.15
United Facility/Professional Professional Modifier Low / Median / High Price $840.55 / $1,104.52 / $1,530.63	Professional		$840.55	$1,104.52	$1,530.63