Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $913.19 / $3,839.00 / $8,247.00	Facility		$913.19	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $717.82 / $857.84 / $1,136.16	Professional		$717.82	$857.84	$1,136.16
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 $672.81 / $791.54 / $1,228.38	Professional		$672.81	$791.54	$1,228.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.03 / $1,023.51 / $1,589.86	Professional		$750.03	$1,023.51	$1,589.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,161.22 / $1,161.22 / $1,218.55	Professional		$1,161.22	$1,161.22	$1,218.55
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 $717.82 / $914.32 / $2,052.66	Professional		$717.82	$914.32	$2,052.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,891.70 / $1,891.70 / $1,891.70	Professional		$1,891.70	$1,891.70	$1,891.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $827.52 / $1,062.18 / $1,671.21	Professional		$827.52	$1,062.18	$1,671.21
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $749.93 / $749.93 / $838.12	Facility		$749.93	$749.93	$838.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $717.27 / $763.80 / $838.12	Professional		$717.27	$763.80	$838.12
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 $758.36 / $1,028.90 / $1,582.90	Professional		$758.36	$1,028.90	$1,582.90