Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $926.00 / $3,964.00 / $8,240.00	Facility		$926.00	$3,964.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.11 / $1,544.00 / $2,522.67	Professional		$171.11	$1,544.00	$2,522.67
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,841.93 / $3,216.62 / $4,452.27	Professional		$1,841.93	$3,216.62	$4,452.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.35 / $485.71 / $4,267.08	Professional		$204.35	$485.71	$4,267.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,593.34 / $3,445.19 / $3,570.70	Professional		$2,593.34	$3,445.19	$3,570.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,247.00	Facility		$1,013.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $183.77 / $1,568.10 / $4,123.60	Professional		$183.77	$1,568.10	$4,123.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3,811.20 / $6,776.90	Professional		$3.00	$3,811.20	$6,776.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $206.65 / $485.71 / $4,267.08	Professional		$206.65	$485.71	$4,267.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $204.52 / $305.01 / $2,225.46	Facility		$204.52	$305.01	$2,225.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $204.52 / $1,590.40 / $2,439.21	Professional		$204.52	$1,590.40	$2,439.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,000.00	Facility		$2,155.00	$3,475.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,728.35 / $2,850.81 / $5,201.64	Professional		$1,728.35	$2,850.81	$5,201.64