Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $900.18 / $2,747.00 / $8,017.00	Facility		$900.18	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $752.43 / $851.62 / $1,273.28	Professional		$752.43	$851.62	$1,273.28
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 $739.79 / $1,185.22 / $1,616.26	Professional		$739.79	$1,185.22	$1,616.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $830.30 / $1,119.33 / $1,803.76	Professional		$830.30	$1,119.33	$1,803.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,009.84 / $1,352.35 / $1,352.35	Professional		$1,009.84	$1,352.35	$1,352.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $3,077.00 / $8,017.00	Facility		$918.00	$3,077.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $760.97 / $914.47 / $2,673.53	Professional		$760.97	$914.47	$2,673.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,247.09 / $2,099.19	Professional		$15.00	$1,247.09	$2,099.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $841.05 / $1,168.25 / $1,946.76	Professional		$841.05	$1,168.25	$1,946.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $820.01 / $820.01 / $1,053.25	Facility		$820.01	$820.01	$1,053.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $785.45 / $833.12 / $1,053.25	Professional		$785.45	$833.12	$1,053.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,222.00 / $3,475.00 / $6,000.00	Facility		$2,222.00	$3,475.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $765.83 / $1,028.58 / $1,705.32	Professional		$765.83	$1,028.58	$1,705.32