Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $961.76 / $3,839.00 / $8,427.00	Facility		$961.76	$3,839.00	$8,427.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $784.93 / $891.85 / $1,114.85	Professional		$784.93	$891.85	$1,114.85
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 $705.47 / $1,043.02 / $1,505.55	Professional		$705.47	$1,043.02	$1,505.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $786.80 / $1,018.59 / $1,614.01	Professional		$786.80	$1,018.59	$1,614.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,229.90 / $1,229.90 / $1,288.94	Professional		$1,229.90	$1,229.90	$1,288.94
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $961.76 / $4,761.00 / $8,427.00	Facility		$961.76	$4,761.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $749.52 / $961.76 / $4,122.29	Professional		$749.52	$961.76	$4,122.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,420.80 / $1,993.00	Professional		$15.00	$1,420.80	$1,993.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $792.24 / $1,045.21 / $1,614.01	Professional		$792.24	$1,045.21	$1,614.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $733.31 / $781.75 / $781.75	Facility		$733.31	$781.75	$781.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $733.31 / $781.75 / $820.84	Professional		$733.31	$781.75	$820.84
United Facility/Professional Facility Modifier Low / Median / High Price $656.00 / $2,391.00 / $6,322.00	Facility		$656.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $746.13 / $1,028.71 / $1,597.05	Professional		$746.13	$1,028.71	$1,597.05