Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $535.29 / $2,784.38 / $2,812.22	Facility		$535.29	$2,784.38	$2,812.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $2,812.22	Professional		$2,784.38	$2,784.38	$2,812.22
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,366.71 / $2,784.38 / $8,639.91	Facility		$2,366.71	$2,784.38	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $2,784.38	Professional		$2,784.38	$2,784.38	$2,784.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,626.77 / $2,784.38 / $2,784.38	Facility		$2,626.77	$2,784.38	$2,784.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $2,784.38	Professional		$2,784.38	$2,784.38	$2,784.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,758.11 / $3,020.79 / $4,815.70	Professional		$2,758.11	$3,020.79	$4,815.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $535.29 / $1,399.20 / $2,784.38	Facility		$535.29	$1,399.20	$2,784.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $535.29 / $2,784.38 / $2,812.22	Professional		$535.29	$2,784.38	$2,812.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $177.50 / $215.90 / $216.00	Professional		$177.50	$215.90	$216.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,626.77 / $2,784.38 / $2,784.38	Facility		$2,626.77	$2,784.38	$2,784.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $2,889.45	Professional		$2,784.38	$2,784.38	$2,889.45
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $94.06 / $94.06 / $109.15	Facility		$94.06	$94.06	$109.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $94.06 / $94.06 / $109.15	Professional		$94.06	$94.06	$109.15
United Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $3,845.23	Professional		$2,784.38	$2,784.38	$3,845.23