Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $3,847.00 / $9,590.00	Facility		$832.00	$3,847.00	$9,590.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.70 / $1,433.37 / $2,042.76	Professional		$294.70	$1,433.37	$2,042.76
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $28,970.26	Facility		$8,639.91	$11,851.00	$28,970.26
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,165.11 / $1,989.63 / $2,917.91	Professional		$1,165.11	$1,989.63	$2,917.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.27 / $616.03 / $3,065.13	Professional		$300.27	$616.03	$3,065.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,159.89 / $2,159.89 / $2,226.81	Professional		$2,159.89	$2,159.89	$2,226.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $5,526.00 / $10,527.00	Facility		$1,020.00	$5,526.00	$10,527.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $294.70 / $1,433.37 / $3,051.21	Professional		$294.70	$1,433.37	$3,051.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,894.44 / $4,222.80	Professional		$5.00	$1,894.44	$4,222.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $314.38 / $638.22 / $3,036.24	Professional		$314.38	$638.22	$3,036.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $270.19 / $504.22 / $3,794.75	Facility		$270.19	$504.22	$3,794.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $270.19 / $504.22 / $1,538.97	Professional		$270.19	$504.22	$1,538.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,447.00 / $3,311.00 / $6,000.00	Facility		$1,447.00	$3,311.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,504.50 / $2,053.32 / $3,171.67	Professional		$1,504.50	$2,053.32	$3,171.67