Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $3,839.00 / $8,247.00	Facility		$825.00	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $825.00 / $825.00 / $1,247.33	Professional		$825.00	$825.00	$1,247.33
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 $707.72 / $832.61 / $832.61	Professional		$707.72	$832.61	$832.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.00 / $511.49 / $3,646.77	Professional		$329.00	$511.49	$3,646.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $4,761.00 / $8,247.00	Facility		$825.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $825.00 / $825.00 / $2,843.00	Professional		$825.00	$825.00	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $7.00	Professional		$7.00	$7.00	$7.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $434.00 / $511.49 / $3,646.77	Professional		$434.00	$511.49	$3,646.77
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,006.35 / $3,006.35 / $3,006.35	Facility		$3,006.35	$3,006.35	$3,006.35
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,006.35 / $3,006.35 / $3,006.35	Professional		$3,006.35	$3,006.35	$3,006.35
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