Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $2,422.00 / $7,799.00	Facility		$832.00	$2,422.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $955.21 / $1,157.72 / $1,500.68	Professional		$955.21	$1,157.72	$1,500.68
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 $1,024.90 / $1,205.77 / $1,205.77	Professional		$1,024.90	$1,205.77	$1,205.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,041.88 / $1,473.78 / $2,283.71	Professional		$1,041.88	$1,473.78	$2,283.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,404.35 / $1,881.53 / $1,881.53	Professional		$1,404.35	$1,881.53	$1,881.53
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,371.00 / $8,017.00	Facility		$657.00	$2,371.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $901.48 / $1,168.24 / $3,036.69	Professional		$901.48	$1,168.24	$3,036.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,344.00 / $2,926.20	Professional		$6.00	$1,344.00	$2,926.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.15 / $1,473.78 / $2,359.73	Professional		$1,096.15	$1,473.78	$2,359.73
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,135.31 / $1,135.31 / $1,174.26	Facility		$1,135.31	$1,135.31	$1,174.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,088.88 / $1,152.65 / $1,196.25	Professional		$1,088.88	$1,152.65	$1,196.25
United Facility/Professional Facility Modifier Low / Median / High Price $435.00 / $1,155.00 / $3,742.00	Facility		$435.00	$1,155.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,007.47 / $1,366.22 / $2,309.73	Professional		$1,007.47	$1,366.22	$2,309.73