Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $906.16 / $906.16 / $15,867.20	Facility		$906.16	$906.16	$15,867.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $906.16 / $995.00 / $1,398.07	Professional		$906.16	$995.00	$1,398.07
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 $1,545.10 / $2,029.15 / $2,029.15	Professional		$1,545.10	$2,029.15	$2,029.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,650.90 / $1,650.90 / $2,029.15	Facility		$1,650.90	$1,650.90	$2,029.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,403.27 / $1,403.27 / $1,888.94	Professional		$1,403.27	$1,403.27	$1,888.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,866.82 / $2,029.15 / $3,855.39	Professional		$1,866.82	$2,029.15	$3,855.39
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $906.16 / $14,969.20 / $21,413.15	Facility		$906.16	$14,969.20	$21,413.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $888.40 / $995.00 / $1,555.77	Professional		$888.40	$995.00	$1,555.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $817.30 / $980.70 / $4,479.89	Professional		$817.30	$980.70	$4,479.89
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,650.90 / $1,650.90 / $2,029.15	Facility		$1,650.90	$1,650.90	$2,029.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,403.27 / $1,403.27 / $2,410.13	Professional		$1,403.27	$1,403.27	$2,410.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,931.37 / $1,931.37 / $2,246.35	Facility		$1,931.37	$1,931.37	$2,246.35
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,931.37 / $1,931.37 / $2,246.35	Professional		$1,931.37	$1,931.37	$2,246.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,083.54 / $1,224.69 / $2,162.13	Facility		$1,083.54	$1,224.69	$2,162.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,012.32 / $1,416.71 / $2,361.17	Professional		$1,012.32	$1,416.71	$2,361.17