Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $2,747.00 / $8,017.00	Facility		$882.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.23 / $922.07 / $1,570.88	Professional		$331.23	$922.07	$1,570.88
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $938.72 / $1,200.08 / $1,867.45	Professional		$938.72	$1,200.08	$1,867.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.00 / $709.05 / $1,792.71	Professional		$340.00	$709.05	$1,792.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,749.95 / $1,749.95 / $1,786.46	Professional		$1,749.95	$1,749.95	$1,786.46
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $934.00 / $3,120.00 / $8,017.00	Facility		$934.00	$3,120.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $331.23 / $1,011.64 / $1,961.41	Professional		$331.23	$1,011.64	$1,961.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $301.72 / $1,003.98 / $1,948.88	Professional		$301.72	$1,003.98	$1,948.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $342.04 / $687.68 / $1,756.85	Professional		$342.04	$687.68	$1,756.85
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $310.99 / $699.62 / $1,117.21	Facility		$310.99	$699.62	$1,117.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $310.99 / $699.62 / $1,139.55	Professional		$310.99	$699.62	$1,139.55
United Facility/Professional Facility Modifier Low / Median / High Price $2,304.00 / $4,584.00 / $9,631.00	Facility		$2,304.00	$4,584.00	$9,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $911.68 / $1,231.67 / $2,008.59	Professional		$911.68	$1,231.67	$2,008.59