Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $899.70 / $3,839.00 / $8,247.00	Facility		$899.70	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $746.91 / $891.64 / $2,023.74	Professional		$746.91	$891.64	$2,023.74
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 $742.97 / $1,182.59 / $1,615.75	Professional		$742.97	$1,182.59	$1,615.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.80 / $1,086.66 / $1,726.17	Professional		$812.80	$1,086.66	$1,726.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $981.08 / $1,297.85 / $1,303.83	Professional		$981.08	$1,297.85	$1,303.83
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 $746.91 / $899.70 / $2,672.10	Professional		$746.91	$899.70	$2,672.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,069.90 / $2,092.90	Professional		$6.00	$1,069.90	$2,092.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $816.31 / $1,098.50 / $1,732.70	Professional		$816.31	$1,098.50	$1,732.70
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $818.20 / $818.20 / $1,003.52	Facility		$818.20	$818.20	$1,003.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $793.63 / $821.95 / $1,003.52	Professional		$793.63	$821.95	$1,003.52
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 $785.05 / $1,029.20 / $1,771.75	Professional		$785.05	$1,029.20	$1,771.75