Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $979.15 / $5,526.00 / $13,947.00	Facility		$979.15	$5,526.00	$13,947.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $861.41 / $964.06 / $1,136.82	Professional		$861.41	$964.06	$1,136.82
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 $712.18 / $1,301.71 / $1,697.17	Professional		$712.18	$1,301.71	$1,697.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $799.77 / $1,165.34 / $1,684.74	Professional		$799.77	$1,165.34	$1,684.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,222.51 / $1,222.51 / $1,288.30	Professional		$1,222.51	$1,222.51	$1,288.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $979.15 / $5,526.00 / $13,969.00	Facility		$979.15	$5,526.00	$13,969.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $841.85 / $978.20 / $2,843.00	Professional		$841.85	$978.20	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $2,007.00	Professional		$15.00	$15.00	$2,007.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $905.16 / $1,181.65 / $1,876.04	Professional		$905.16	$1,181.65	$1,876.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $794.69 / $794.69 / $1,002.60	Facility		$794.69	$794.69	$1,002.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $758.67 / $810.58 / $1,002.60	Professional		$758.67	$810.58	$1,002.60
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 $837.86 / $1,164.69 / $1,707.92	Professional		$837.86	$1,164.69	$1,707.92