Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.00 / $3,623.00 / $7,799.00	Facility		$768.00	$3,623.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.22 / $1,141.44 / $1,534.37	Professional		$292.22	$1,141.44	$1,534.37
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 $1,060.65 / $1,294.91 / $1,294.91	Professional		$1,060.65	$1,294.91	$1,294.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.08 / $621.15 / $2,039.94	Professional		$303.08	$621.15	$2,039.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,053.44 / $2,053.44 / $2,107.44	Professional		$2,053.44	$2,053.44	$2,107.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,839.00 / $8,017.00	Facility		$954.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $292.22 / $1,141.44 / $1,960.16	Professional		$292.22	$1,141.44	$1,960.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $2,095.40 / $3,315.90	Professional		$4.00	$2,095.40	$3,315.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $311.81 / $637.64 / $1,852.39	Professional		$311.81	$637.64	$1,852.39
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $272.43 / $967.93 / $1,480.41	Facility		$272.43	$967.93	$1,480.41
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $272.43 / $967.93 / $1,212.32	Professional		$272.43	$967.93	$1,212.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $4,765.24 / $10,130.54	Facility		$2,332.00	$4,765.24	$10,130.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.63 / $1,435.08 / $2,150.96	Professional		$1,023.63	$1,435.08	$2,150.96