Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $849.39 / $3,839.00 / $8,247.00	Facility		$849.39	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $703.60 / $802.44 / $1,065.47	Professional		$703.60	$802.44	$1,065.47
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 $701.76 / $1,122.61 / $1,507.24	Professional		$701.76	$1,122.61	$1,507.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $768.68 / $1,025.95 / $1,646.60	Professional		$768.68	$1,025.95	$1,646.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $959.00 / $1,283.75 / $1,283.75	Professional		$959.00	$1,283.75	$1,283.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,247.00	Facility		$832.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $703.60 / $818.18 / $2,843.00	Professional		$703.60	$818.18	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $1,125.00 / $1,986.60	Professional		$12.00	$1,125.00	$1,986.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $788.08 / $1,038.86 / $1,698.95	Professional		$788.08	$1,038.86	$1,698.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $773.75 / $776.70 / $776.70	Facility		$773.75	$776.70	$776.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $745.40 / $776.70 / $817.90	Professional		$745.40	$776.70	$817.90
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 $696.01 / $972.66 / $1,604.49	Professional		$696.01	$972.66	$1,604.49