Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $979.87 / $3,964.00 / $8,451.00	Facility		$979.87	$3,964.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $802.30 / $903.59 / $1,138.18	Professional		$802.30	$903.59	$1,138.18
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 $807.58 / $838.06 / $1,175.32	Professional		$807.58	$838.06	$1,175.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.69 / $1,049.65 / $1,646.59	Professional		$812.69	$1,049.65	$1,646.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,221.97 / $1,221.97 / $1,288.45	Professional		$1,221.97	$1,221.97	$1,288.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $979.87 / $5,342.00 / $8,990.00	Facility		$979.87	$5,342.00	$8,990.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $787.14 / $979.87 / $4,225.03	Professional		$787.14	$979.87	$4,225.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,059.20 / $1,463.30 / $1,774.20	Professional		$1,059.20	$1,463.30	$1,774.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $838.06 / $1,053.78 / $1,696.74	Professional		$838.06	$1,053.78	$1,696.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $795.49 / $795.49 / $821.32	Facility		$795.49	$795.49	$821.32
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $759.29 / $811.40 / $829.75	Professional		$759.29	$811.40	$829.75
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 $761.42 / $998.17 / $1,651.38	Professional		$761.42	$998.17	$1,651.38