Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.70 / $3,839.00 / $8,247.00	Facility		$791.70	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $791.70 / $791.70 / $1,166.83	Professional		$791.70	$791.70	$1,166.83
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 $1,193.42 / $1,404.02 / $1,404.02	Professional		$1,193.42	$1,404.02	$1,404.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.00 / $511.49 / $4,289.35	Professional		$329.00	$511.49	$4,289.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,843.12 / $2,843.12 / $2,843.12	Professional		$2,843.12	$2,843.12	$2,843.12
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $791.70 / $4,761.00 / $8,247.00	Facility		$791.70	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $791.70 / $791.70 / $1,177.07	Professional		$791.70	$791.70	$1,177.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $4,122.70	Professional		$7.00	$7.00	$4,122.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $434.00 / $525.07 / $4,289.35	Professional		$434.00	$525.07	$4,289.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,613.99 / $1,613.99 / $1,613.99	Facility		$1,613.99	$1,613.99	$1,613.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,613.99 / $1,613.99 / $1,613.99	Professional		$1,613.99	$1,613.99	$1,613.99
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 $951.53 / $1,169.46 / $1,926.20	Professional		$951.53	$1,169.46	$1,926.20