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 $786.75 / $901.62 / $1,278.59	Professional		$786.75	$901.62	$1,278.59
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 $899.29 / $933.23 / $933.23	Professional		$899.29	$933.23	$933.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $865.15 / $1,159.83 / $1,772.27	Professional		$865.15	$1,159.83	$1,772.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.66 / $1,386.13 / $1,391.48	Professional		$1,047.66	$1,386.13	$1,391.48
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 $786.75 / $965.66 / $4,733.84	Professional		$786.75	$965.66	$4,733.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $991.50 / $2,231.19	Professional		$3.00	$991.50	$2,231.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $867.21 / $1,172.03 / $1,823.70	Professional		$867.21	$1,172.03	$1,823.70
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $819.31 / $873.26 / $873.26	Facility		$819.31	$873.26	$873.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $819.31 / $873.26 / $913.90	Professional		$819.31	$873.26	$913.90
United Facility/Professional Facility Modifier Low / Median / High Price $435.00 / $1,305.00 / $3,742.00	Facility		$435.00	$1,305.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $838.74 / $1,087.76 / $1,808.51	Professional		$838.74	$1,087.76	$1,808.51