Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $939.58 / $3,839.00 / $8,247.00	Facility		$939.58	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $780.44 / $877.75 / $1,118.30	Professional		$780.44	$877.75	$1,118.30
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 $881.09 / $914.34 / $914.34	Professional		$881.09	$914.34	$914.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $849.84 / $1,136.05 / $1,787.82	Professional		$849.84	$1,136.05	$1,787.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,026.21 / $1,357.70 / $1,362.97	Professional		$1,026.21	$1,357.70	$1,362.97
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 $780.44 / $935.96 / $2,843.00	Professional		$780.44	$935.96	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,123.70 / $2,185.30	Professional		$6.00	$1,123.70	$2,185.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $853.04 / $1,148.56 / $1,816.50	Professional		$853.04	$1,148.56	$1,816.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $855.58 / $855.58 / $1,004.01	Facility		$855.58	$855.58	$1,004.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $830.04 / $859.68 / $1,004.01	Professional		$830.04	$859.68	$1,004.01
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 $852.74 / $1,096.00 / $1,861.15	Professional		$852.74	$1,096.00	$1,861.15