Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $784.94 / $3,839.00 / $8,247.00	Facility		$784.94	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $647.38 / $739.40 / $973.30	Professional		$647.38	$739.40	$973.30
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,480.74	Facility		$13,531.00	$27,840.00	$46,480.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $642.11 / $1,021.20 / $1,355.97	Professional		$642.11	$1,021.20	$1,355.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $703.65 / $930.48 / $1,507.60	Professional		$703.65	$930.48	$1,507.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $879.41 / $1,176.80 / $1,176.80	Professional		$879.41	$1,176.80	$1,176.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $784.94 / $4,761.00 / $8,247.00	Facility		$784.94	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $650.79 / $753.90 / $2,843.00	Professional		$650.79	$753.90	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $649.14 / $1,076.09 / $1,572.10	Professional		$649.14	$1,076.09	$1,572.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $709.74 / $937.83 / $1,515.10	Professional		$709.74	$937.83	$1,515.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $692.91 / $711.13 / $711.13	Facility		$692.91	$711.13	$711.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $683.97 / $711.13 / $750.71	Professional		$683.97	$711.13	$750.71
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,391.00 / $6,322.00	Facility		$625.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $616.83 / $892.78 / $1,512.89	Professional		$616.83	$892.78	$1,512.89