Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $957.09 / $3,839.00 / $8,247.00	Facility		$957.09	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $788.71 / $904.81 / $1,196.55	Professional		$788.71	$904.81	$1,196.55
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 $892.49 / $926.17 / $926.17	Professional		$892.49	$926.17	$926.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.72 / $1,161.19 / $1,847.93	Professional		$864.72	$1,161.19	$1,847.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,075.15 / $1,439.56 / $1,439.56	Professional		$1,075.15	$1,439.56	$1,439.56
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 $788.71 / $922.55 / $2,843.00	Professional		$788.71	$922.55	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $1,173.20 / $2,234.90	Professional		$12.00	$1,173.20	$2,234.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $876.84 / $1,166.43 / $1,916.55	Professional		$876.84	$1,166.43	$1,916.55
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $871.66 / $871.66 / $874.06	Facility		$871.66	$871.66	$874.06
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $836.00 / $874.06 / $917.02	Professional		$836.00	$874.06	$917.02
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 $789.30 / $1,102.26 / $1,811.38	Professional		$789.30	$1,102.26	$1,811.38