Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $867.87 / $867.87 / $3,358.66	Facility		$867.87	$867.87	$3,358.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $799.80 / $918.92 / $1,214.14	Professional		$799.80	$918.92	$1,214.14
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 $1,479.81 / $1,943.40 / $1,943.40	Professional		$1,479.81	$1,943.40	$1,943.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,473.53 / $1,473.53 / $2,188.67	Facility		$1,473.53	$1,473.53	$2,188.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,075.68 / $1,075.68 / $1,916.48	Professional		$1,075.68	$1,075.68	$1,916.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,013.58 / $2,188.67 / $4,158.47	Professional		$2,013.58	$2,188.67	$4,158.47
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $867.87 / $867.87 / $3,358.66	Facility		$867.87	$867.87	$3,358.66
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $804.30 / $918.92 / $1,459.74	Professional		$804.30	$918.92	$1,459.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,482.40 / $2,985.00 / $4,312.10	Professional		$1,482.40	$2,985.00	$4,312.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,473.53 / $1,473.53 / $2,188.67	Facility		$1,473.53	$1,473.53	$2,188.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,075.68 / $1,075.68 / $2,640.75	Professional		$1,075.68	$1,075.68	$2,640.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $928.66 / $928.66 / $1,849.76	Facility		$928.66	$928.66	$1,849.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $928.66 / $1,849.76 / $2,083.21	Professional		$928.66	$1,849.76	$2,083.21
United Facility/Professional Professional Modifier Low / Median / High Price $876.29 / $1,053.57 / $1,752.58	Professional		$876.29	$1,053.57	$1,752.58