Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $918.61 / $5,526.00 / $13,947.00	Facility		$918.61	$5,526.00	$13,947.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $747.55 / $847.32 / $1,066.48	Professional		$747.55	$847.32	$1,066.48
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 $668.49 / $1,221.15 / $1,486.84	Professional		$668.49	$1,221.15	$1,486.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $766.92 / $1,062.40 / $1,580.49	Professional		$766.92	$1,062.40	$1,580.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,147.58 / $1,147.58 / $1,209.89	Professional		$1,147.58	$1,147.58	$1,209.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $918.61 / $5,526.00 / $13,969.00	Facility		$918.61	$5,526.00	$13,969.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $747.55 / $917.66 / $2,843.00	Professional		$747.55	$917.66	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $1,882.90	Professional		$15.00	$15.00	$1,882.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $822.21 / $1,082.05 / $1,679.05	Professional		$822.21	$1,082.05	$1,679.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $745.51 / $745.51 / $878.34	Facility		$745.51	$745.51	$878.34
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $711.71 / $760.42 / $878.34	Professional		$711.71	$760.42	$878.34
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 $772.96 / $1,035.03 / $1,620.78	Professional		$772.96	$1,035.03	$1,620.78