Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $986.10 / $3,839.00 / $8,247.00	Facility		$986.10	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $818.20 / $917.71 / $1,175.81	Professional		$818.20	$917.71	$1,175.81
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 $812.43 / $1,299.57 / $1,733.94	Professional		$812.43	$1,299.57	$1,733.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $888.63 / $1,195.28 / $1,838.12	Professional		$888.63	$1,195.28	$1,838.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,073.24 / $1,419.93 / $1,425.99	Professional		$1,073.24	$1,419.93	$1,425.99
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 $818.20 / $986.10 / $2,378.48	Professional		$818.20	$986.10	$2,378.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,226.20 / $2,293.30	Professional		$6.00	$1,226.20	$2,293.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $891.89 / $1,200.99 / $1,882.32	Professional		$891.89	$1,200.99	$1,882.32
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $899.13 / $899.13 / $1,175.51	Facility		$899.13	$899.13	$1,175.51
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $871.53 / $903.86 / $1,175.51	Professional		$871.53	$903.86	$1,175.51
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 $863.78 / $1,142.33 / $2,046.12	Professional		$863.78	$1,142.33	$2,046.12