Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.81 / $3,839.00 / $8,247.00	Facility		$935.81	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $854.68 / $935.81 / $1,307.20	Professional		$854.68	$935.81	$1,307.20
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,480.74	Facility		$13,531.00	$27,840.00	$46,480.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $933.88 / $969.12 / $969.12	Professional		$933.88	$969.12	$969.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $898.32 / $1,205.92 / $1,929.18	Professional		$898.32	$1,205.92	$1,929.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,125.00 / $1,506.54 / $1,506.54	Professional		$1,125.00	$1,506.54	$1,506.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,247.00	Facility		$832.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $877.80 / $971.84 / $1,680.87	Professional		$877.80	$971.84	$1,680.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,190.00 / $2,351.80	Professional		$7.00	$1,190.00	$2,351.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $898.32 / $1,211.20 / $1,976.00	Professional		$898.32	$1,211.20	$1,976.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $909.99 / $909.99 / $1,161.84	Facility		$909.99	$909.99	$1,161.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $872.53 / $924.18 / $1,161.84	Professional		$872.53	$924.18	$1,161.84
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,391.00 / $6,322.00	Facility		$625.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $805.52 / $1,157.70 / $1,901.39	Professional		$805.52	$1,157.70	$1,901.39