Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $998.11 / $4,761.00 / $8,451.00	Facility		$998.11	$4,761.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $830.13 / $932.90 / $1,189.41	Professional		$830.13	$932.90	$1,189.41
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 $825.60 / $1,314.46 / $1,772.97	Professional		$825.60	$1,314.46	$1,772.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $902.82 / $1,208.21 / $1,904.54	Professional		$902.82	$1,208.21	$1,904.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,088.69 / $1,440.40 / $1,443.95	Professional		$1,088.69	$1,440.40	$1,443.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,054.00 / $5,342.00 / $9,617.00	Facility		$1,054.00	$5,342.00	$9,617.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $830.13 / $993.59 / $2,843.00	Professional		$830.13	$993.59	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,186.50 / $2,317.50	Professional		$7.00	$1,186.50	$2,317.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $905.80 / $1,220.16 / $1,968.02	Professional		$905.80	$1,220.16	$1,968.02
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $909.42 / $909.42 / $1,025.57	Facility		$909.42	$909.42	$1,025.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $881.45 / $914.31 / $1,025.57	Professional		$881.45	$914.31	$1,025.57
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 $921.41 / $1,158.26 / $1,982.86	Professional		$921.41	$1,158.26	$1,982.86