Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.63 / $4,761.00 / $8,451.00	Facility		$950.63	$4,761.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $790.15 / $888.32 / $1,131.86	Professional		$790.15	$888.32	$1,131.86
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 $785.64 / $1,251.13 / $1,673.66	Professional		$785.64	$1,251.13	$1,673.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $858.93 / $1,149.75 / $1,810.98	Professional		$858.93	$1,149.75	$1,810.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,036.35 / $1,371.07 / $1,375.46	Professional		$1,036.35	$1,371.07	$1,375.46
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 $790.15 / $950.63 / $4,695.24	Professional		$790.15	$950.63	$4,695.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,173.50 / $2,208.30	Professional		$6.00	$1,173.50	$2,208.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $859.76 / $1,161.96 / $1,853.02	Professional		$859.76	$1,161.96	$1,853.02
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $865.61 / $865.61 / $1,082.83	Facility		$865.61	$865.61	$1,082.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $839.14 / $870.09 / $1,082.83	Professional		$839.14	$870.09	$1,082.83
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 $867.97 / $1,071.26 / $1,821.04	Professional		$867.97	$1,071.26	$1,821.04