Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $3,745.00 / $8,017.00	Facility		$832.00	$3,745.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $815.00 / $940.89 / $1,180.49	Professional		$815.00	$940.89	$1,180.49
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 $929.68 / $964.77 / $964.77	Professional		$929.68	$964.77	$964.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $897.64 / $1,207.96 / $2,028.39	Professional		$897.64	$1,207.96	$2,028.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,083.18 / $1,433.01 / $1,439.44	Professional		$1,083.18	$1,433.01	$1,439.44
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 $815.00 / $1,001.31 / $3,748.00	Professional		$815.00	$1,001.31	$3,748.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,268.59 / $2,312.69	Professional		$3.00	$1,268.59	$2,312.69
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $920.91 / $1,248.92 / $2,030.28	Professional		$920.91	$1,248.92	$2,030.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $903.36 / $903.36 / $1,101.98	Facility		$903.36	$903.36	$1,101.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $876.00 / $907.50 / $1,101.98	Professional		$876.00	$907.50	$1,101.98
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 $922.89 / $1,157.20 / $1,946.77	Professional		$922.89	$1,157.20	$1,946.77