Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,003.61 / $3,839.00 / $8,427.00	Facility		$1,003.61	$3,839.00	$8,427.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.12 / $948.88 / $1,258.56	Professional		$831.12	$948.88	$1,258.56
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 $939.20 / $974.64 / $974.64	Professional		$939.20	$974.64	$974.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $901.00 / $1,212.26 / $1,944.50	Professional		$901.00	$1,212.26	$1,944.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,129.54 / $1,511.36 / $1,511.36	Professional		$1,129.54	$1,511.36	$1,511.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,003.61 / $4,761.00 / $8,427.00	Facility		$1,003.61	$4,761.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $831.12 / $1,020.86 / $2,433.16	Professional		$831.12	$1,020.86	$2,433.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $1,217.30 / $2,343.10	Professional		$12.00	$1,217.30	$2,343.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $911.12 / $1,217.70 / $2,004.88	Professional		$911.12	$1,217.70	$2,004.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $917.22 / $917.22 / $925.68	Facility		$917.22	$917.22	$925.68
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $879.81 / $925.68 / $964.96	Professional		$879.81	$925.68	$964.96
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 $816.03 / $1,105.32 / $1,897.66	Professional		$816.03	$1,105.32	$1,897.66