Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $4,304.00 / $8,240.00	Facility		$882.00	$4,304.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $729.87 / $820.73 / $1,045.63	Professional		$729.87	$820.73	$1,045.63
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 $824.74 / $855.87 / $855.87	Professional		$824.74	$855.87	$855.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.84 / $1,064.27 / $1,674.08	Professional		$794.84	$1,064.27	$1,674.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $961.56 / $1,272.33 / $1,277.45	Professional		$961.56	$1,272.33	$1,277.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,247.00	Facility		$1,013.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $729.87 / $879.29 / $4,342.46	Professional		$729.87	$879.29	$4,342.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,059.70 / $2,046.80	Professional		$6.00	$1,059.70	$2,046.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $805.37 / $1,074.22 / $1,685.17	Professional		$805.37	$1,074.22	$1,685.17
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $800.23 / $800.23 / $1,043.56	Facility		$800.23	$800.23	$1,043.56
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $776.26 / $803.83 / $1,043.56	Professional		$776.26	$803.83	$1,043.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,000.00	Facility		$2,155.00	$3,475.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $773.04 / $1,018.56 / $1,680.22	Professional		$773.04	$1,018.56	$1,680.22