Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $753.16 / $3,839.00 / $8,247.00	Facility		$753.16	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $624.33 / $753.16 / $953.84	Professional		$624.33	$753.16	$953.84
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 $622.23 / $1,015.74 / $1,387.32	Professional		$622.23	$1,015.74	$1,387.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $674.09 / $933.45 / $1,437.52	Professional		$674.09	$933.45	$1,437.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $823.08 / $1,088.94 / $1,095.16	Professional		$823.08	$1,088.94	$1,095.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $753.16 / $4,761.00 / $8,247.00	Facility		$753.16	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $624.33 / $782.33 / $2,149.82	Professional		$624.33	$782.33	$2,149.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $900.70 / $1,755.10	Professional		$7.00	$900.70	$1,755.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $681.14 / $949.66 / $1,524.03	Professional		$681.14	$949.66	$1,524.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $726.45 / $726.45 / $833.39	Facility		$726.45	$726.45	$833.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $701.33 / $732.99 / $833.39	Professional		$701.33	$732.99	$833.39
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 $689.67 / $859.98 / $1,476.45	Professional		$689.67	$859.98	$1,476.45