Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $869.90 / $3,745.00 / $8,017.00	Facility		$869.90	$3,745.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $869.90 / $1,007.31 / $1,261.48	Professional		$869.90	$1,007.31	$1,261.48
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $992.20 / $1,029.64 / $1,029.64	Professional		$992.20	$1,029.64	$1,029.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $958.02 / $1,284.26 / $2,023.24	Professional		$958.02	$1,284.26	$2,023.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,154.33 / $1,527.04 / $1,532.42	Professional		$1,154.33	$1,527.04	$1,532.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,839.00 / $8,017.00	Facility		$954.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $869.90 / $1,044.93 / $3,748.00	Professional		$869.90	$1,044.93	$3,748.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,371.40 / $2,464.40	Professional		$3.00	$1,371.40	$2,464.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $982.84 / $1,294.77 / $2,152.17	Professional		$982.84	$1,294.77	$2,152.17
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $964.75 / $964.75 / $1,201.73	Facility		$964.75	$964.75	$1,201.73
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $935.58 / $969.73 / $1,201.73	Professional		$935.58	$969.73	$1,201.73
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 $934.47 / $1,218.76 / $2,030.37	Professional		$934.47	$1,218.76	$2,030.37