Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.00 / $3,748.00 / $8,451.00	Facility		$768.00	$3,748.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.77 / $1,447.68 / $2,060.10	Professional		$308.77	$1,447.68	$2,060.10
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 $1,251.33 / $2,266.23 / $2,899.23	Professional		$1,251.33	$2,266.23	$2,899.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.68 / $659.28 / $2,617.54	Professional		$333.68	$659.28	$2,617.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,316.02 / $2,316.02 / $2,390.37	Professional		$2,316.02	$2,316.02	$2,390.37
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,068.00 / $8,247.00	Facility		$832.00	$4,068.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $308.77 / $1,447.68 / $3,751.85	Professional		$308.77	$1,447.68	$3,751.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $2,122.50 / $4,429.30	Professional		$6.00	$2,122.50	$4,429.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $341.68 / $683.81 / $2,585.51	Professional		$341.68	$683.81	$2,585.51
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $281.68 / $289.16 / $1,495.65	Facility		$281.68	$289.16	$1,495.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $281.68 / $300.73 / $1,525.56	Professional		$281.68	$300.73	$1,525.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,000.00	Facility		$2,155.00	$3,475.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,464.03 / $1,915.93 / $3,124.57	Professional		$1,464.03	$1,915.93	$3,124.57