Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $845.41 / $845.41 / $3,271.74	Facility		$845.41	$845.41	$3,271.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $773.55 / $895.14 / $1,235.05	Professional		$773.55	$895.14	$1,235.05
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 $1,441.51 / $1,893.11 / $1,893.11	Professional		$1,441.51	$1,893.11	$1,893.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,498.90 / $1,498.90 / $2,104.98	Facility		$1,498.90	$1,498.90	$2,104.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,094.20 / $1,094.20 / $1,843.20	Professional		$1,094.20	$1,094.20	$1,843.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,936.59 / $2,104.98 / $3,999.48	Professional		$1,936.59	$2,104.98	$3,999.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $845.41 / $845.41 / $3,271.74	Facility		$845.41	$845.41	$3,271.74
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $773.55 / $895.14 / $1,327.10	Professional		$773.55	$895.14	$1,327.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,425.80 / $2,870.90 / $4,147.20	Professional		$1,425.80	$2,870.90	$4,147.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,498.90 / $1,498.90 / $2,104.98	Facility		$1,498.90	$1,498.90	$2,104.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,094.20 / $1,094.20 / $2,686.13	Professional		$1,094.20	$1,094.20	$2,686.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $904.62 / $904.62 / $1,801.89	Facility		$904.62	$904.62	$1,801.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $904.62 / $1,801.89 / $2,003.56	Professional		$904.62	$1,801.89	$2,003.56
United Facility/Professional Professional Modifier Low / Median / High Price $879.14 / $1,135.86 / $1,707.22	Professional		$879.14	$1,135.86	$1,707.22