Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.87 / $797.87 / $844.81	Facility		$797.87	$797.87	$844.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $699.18 / $844.81 / $1,126.41	Professional		$699.18	$844.81	$1,126.41
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 $1,360.46 / $1,786.65 / $1,786.65	Professional		$1,360.46	$1,786.65	$1,786.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,022.07 / $1,022.07 / $1,786.65	Facility		$1,022.07	$1,022.07	$1,786.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $868.76 / $868.76 / $1,564.46	Professional		$868.76	$868.76	$1,564.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,643.72 / $1,786.65 / $3,394.64	Professional		$1,643.72	$1,786.65	$3,394.64
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $797.87 / $797.87 / $797.87	Facility		$797.87	$797.87	$797.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $699.18 / $876.10 / $1,231.01	Professional		$699.18	$876.10	$1,231.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,215.19 / $2,547.50 / $3,520.00	Professional		$2,215.19	$2,547.50	$3,520.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,022.07 / $1,022.07 / $1,786.65	Facility		$1,022.07	$1,022.07	$1,786.65
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $868.76 / $868.76 / $2,122.13	Professional		$868.76	$868.76	$2,122.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,277.36 / $1,700.57 / $1,700.57	Facility		$1,277.36	$1,700.57	$1,700.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,277.36 / $1,700.57 / $1,742.32	Professional		$1,277.36	$1,700.57	$1,742.32
United Facility/Professional Professional Modifier Low / Median / High Price $816.02 / $1,006.00 / $1,561.04	Professional		$816.02	$1,006.00	$1,561.04