Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,240.00 / $7,629.00	Facility		$617.00	$2,240.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.16 / $1,075.58 / $2,984.25	Professional		$178.16	$1,075.58	$2,984.25
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,134.44 / $2,883.13 / $4,697.39	Professional		$1,134.44	$2,883.13	$4,697.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.20 / $471.24 / $3,498.04	Professional		$211.20	$471.24	$3,498.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,106.08 / $2,106.08 / $2,179.73	Professional		$2,106.08	$2,106.08	$2,179.73
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,371.00 / $8,017.00	Facility		$641.00	$2,371.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $195.97 / $1,075.58 / $3,327.00	Professional		$195.97	$1,075.58	$3,327.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $202.50 / $1,213.30 / $2,731.44	Professional		$202.50	$1,213.30	$2,731.44
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $217.20 / $471.24 / $3,505.55	Professional		$217.20	$471.24	$3,505.55
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $199.05 / $211.01 / $2,805.13	Facility		$199.05	$211.01	$2,805.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $199.05 / $211.01 / $1,482.59	Professional		$199.05	$211.01	$1,482.59
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $650.00 / $3,742.00	Facility		$144.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,810.98 / $2,735.95 / $4,467.18	Professional		$1,810.98	$2,735.95	$4,467.18