Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $986.92 / $3,839.00 / $8,247.00	Facility		$986.92	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $819.94 / $921.85 / $1,174.32	Professional		$819.94	$921.85	$1,174.32
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 $815.86 / $1,298.32 / $1,748.48	Professional		$815.86	$1,298.32	$1,748.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $892.40 / $1,193.02 / $1,884.32	Professional		$892.40	$1,193.02	$1,884.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,076.90 / $1,424.77 / $1,429.80	Professional		$1,076.90	$1,424.77	$1,429.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,247.00	Facility		$832.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $819.94 / $981.96 / $2,843.00	Professional		$819.94	$981.96	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,210.20 / $2,294.19	Professional		$7.00	$1,210.20	$2,294.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $911.08 / $1,206.07 / $1,954.15	Professional		$911.08	$1,206.07	$1,954.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $898.26 / $898.26 / $1,121.33	Facility		$898.26	$898.26	$1,121.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $870.71 / $902.74 / $1,121.33	Professional		$870.71	$902.74	$1,121.33
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 $876.86 / $1,139.63 / $1,862.79	Professional		$876.86	$1,139.63	$1,862.79