Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $3,839.00 / $8,247.00	Facility		$759.49	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.55 / $717.58 / $1,034.99	Professional		$634.55	$717.58	$1,034.99
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 $708.03 / $734.75 / $1,393.12	Professional		$708.03	$734.75	$1,393.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $705.00 / $979.90 / $1,516.35	Professional		$705.00	$979.90	$1,516.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $853.32 / $1,142.44 / $1,142.44	Professional		$853.32	$1,142.44	$1,142.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $4,761.00 / $8,247.00	Facility		$760.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $650.94 / $747.27 / $1,842.98	Professional		$650.94	$747.27	$1,842.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,238.20 / $1,775.50	Professional		$15.00	$1,238.20	$1,775.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $729.37 / $981.23 / $1,641.57	Professional		$729.37	$981.23	$1,641.57
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $691.74 / $691.74 / $1,135.14	Facility		$691.74	$691.74	$1,135.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $663.66 / $702.12 / $1,135.14	Professional		$663.66	$702.12	$1,135.14
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 $640.03 / $906.08 / $1,436.63	Professional		$640.03	$906.08	$1,436.63