Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $990.87 / $3,839.00 / $8,247.00	Facility		$990.87	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $852.09 / $954.09 / $1,151.94	Professional		$852.09	$954.09	$1,151.94
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 $726.99 / $1,075.33 / $1,561.81	Professional		$726.99	$1,075.33	$1,561.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $816.40 / $1,109.72 / $1,705.84	Professional		$816.40	$1,109.72	$1,705.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,252.73 / $1,252.73 / $1,325.34	Professional		$1,252.73	$1,252.73	$1,325.34
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 $794.83 / $990.87 / $4,221.14	Professional		$794.83	$990.87	$4,221.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $1,461.00 / $2,030.10	Professional		$10.00	$1,461.00	$2,030.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $855.28 / $1,133.61 / $1,732.47	Professional		$855.28	$1,133.61	$1,732.47
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $804.64 / $804.64 / $1,070.90	Facility		$804.64	$804.64	$1,070.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $767.55 / $820.73 / $1,070.90	Professional		$767.55	$820.73	$1,070.90
United Facility/Professional Facility Modifier Low / Median / High Price $656.00 / $2,391.00 / $6,228.00	Facility		$656.00	$2,391.00	$6,228.00
United Facility/Professional Professional Modifier Low / Median / High Price $813.75 / $1,096.33 / $1,691.85	Professional		$813.75	$1,096.33	$1,691.85