Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.37 / $3,839.00 / $8,247.00	Facility		$762.37	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $632.46 / $711.30 / $906.26	Professional		$632.46	$711.30	$906.26
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 $714.09 / $741.04 / $741.04	Professional		$714.09	$741.04	$741.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $688.94 / $921.48 / $1,446.18	Professional		$688.94	$921.48	$1,446.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $832.83 / $1,101.93 / $1,107.08	Professional		$832.83	$1,101.93	$1,107.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $762.37 / $4,761.00 / $8,247.00	Facility		$762.37	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $632.46 / $760.74 / $2,843.00	Professional		$632.46	$760.74	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $894.30 / $1,775.60	Professional		$6.00	$894.30	$1,775.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $689.64 / $931.11 / $1,457.12	Professional		$689.64	$931.11	$1,457.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $693.64 / $693.64 / $749.31	Facility		$693.64	$693.64	$749.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $672.93 / $696.69 / $749.31	Professional		$672.93	$696.69	$749.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,747.00 / $2,824.00 / $5,678.00	Facility		$1,747.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $689.38 / $881.18 / $1,433.46	Professional		$689.38	$881.18	$1,433.46