Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,496.79 / $1,496.79 / $1,496.79	Facility		$1,496.79	$1,496.79	$1,496.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,408.74 / $1,496.79 / $1,496.79	Professional		$1,408.74	$1,496.79	$1,496.79
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 $642.61 / $843.92 / $843.92	Professional		$642.61	$843.92	$843.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.77 / $482.77 / $843.92	Facility		$482.77	$482.77	$843.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.35 / $410.35 / $1,002.38	Professional		$410.35	$410.35	$1,002.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $776.41 / $843.92 / $1,603.45	Professional		$776.41	$843.92	$1,603.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,496.79 / $1,496.79 / $1,496.79	Facility		$1,496.79	$1,496.79	$1,496.79
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,408.74 / $1,496.79 / $1,496.79	Professional		$1,408.74	$1,496.79	$1,496.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $396.30 / $1,203.30 / $1,662.70	Professional		$396.30	$1,203.30	$1,662.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $482.77 / $482.77 / $843.92	Facility		$482.77	$482.77	$843.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $410.35 / $410.35 / $1,012.40	Professional		$410.35	$410.35	$1,012.40
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $608.19 / $803.26 / $803.26	Facility		$608.19	$803.26	$803.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $608.19 / $803.26 / $822.98	Professional		$608.19	$803.26	$822.98
United Facility/Professional Professional Modifier Low / Median / High Price $392.38 / $490.35 / $737.36	Professional		$392.38	$490.35	$737.36