Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $815.38 / $3,745.00 / $8,017.00	Facility		$815.38	$3,745.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.28 / $810.34 / $1,126.98	Professional		$676.28	$810.34	$1,126.98
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 $764.18 / $793.01 / $793.01	Professional		$764.18	$793.01	$793.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $736.65 / $986.16 / $1,605.61	Professional		$736.65	$986.16	$1,605.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $891.58 / $1,179.74 / $1,185.10	Professional		$891.58	$1,179.74	$1,185.10
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,964.00 / $8,017.00	Facility		$954.00	$3,964.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $676.28 / $820.20 / $2,843.00	Professional		$676.28	$820.20	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $939.00 / $1,899.10	Professional		$6.00	$939.00	$1,899.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $756.97 / $995.58 / $1,640.09	Professional		$756.97	$995.58	$1,640.09
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $741.62 / $741.62 / $792.84	Facility		$741.62	$741.62	$792.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $719.59 / $744.78 / $792.84	Professional		$719.59	$744.78	$792.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $715.55 / $940.02 / $1,613.01	Professional		$715.55	$940.02	$1,613.01