Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $861.16 / $861.16 / $3,332.69	Facility		$861.16	$861.16	$3,332.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $792.12 / $911.81 / $1,267.75	Professional		$792.12	$911.81	$1,267.75
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 $1,468.35 / $1,928.36 / $1,928.36	Professional		$1,468.35	$1,928.36	$1,928.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,132.82 / $1,132.82 / $2,130.39	Facility		$1,132.82	$1,132.82	$2,130.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $826.96 / $826.96 / $2,714.25	Professional		$826.96	$826.96	$2,714.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,959.96 / $2,130.39 / $4,047.74	Professional		$1,959.96	$2,130.39	$4,047.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $861.16 / $861.16 / $3,332.69	Facility		$861.16	$861.16	$3,332.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $782.89 / $911.81 / $1,595.13	Professional		$782.89	$911.81	$1,595.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,443.00 / $2,905.60 / $4,197.30	Professional		$1,443.00	$2,905.60	$4,197.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,132.82 / $1,132.82 / $2,130.39	Facility		$1,132.82	$1,132.82	$2,130.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $826.96 / $826.96 / $2,714.25	Professional		$826.96	$826.96	$2,714.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $921.47 / $921.47 / $1,835.44	Facility		$921.47	$921.47	$1,835.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $921.47 / $1,835.44 / $2,027.74	Professional		$921.47	$1,835.44	$2,027.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,052.80 / $1,052.80 / $1,052.80	Facility		$1,052.80	$1,052.80	$1,052.80
United Facility/Professional Professional Modifier Low / Median / High Price $904.45 / $1,157.02 / $1,739.00	Professional		$904.45	$1,157.02	$1,739.00