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 $701.04 / $754.41 / $1,016.29	Professional		$701.04	$754.41	$1,016.29
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $706.64 / $1,124.21 / $1,575.77	Professional		$706.64	$1,124.21	$1,575.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $735.44 / $1,034.45 / $1,590.35	Professional		$735.44	$1,034.45	$1,590.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $933.92 / $1,235.69 / $1,241.00	Professional		$933.92	$1,235.69	$1,241.00
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 $701.04 / $820.57 / $4,220.60	Professional		$701.04	$820.57	$4,220.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,024.09 / $1,990.00	Professional		$3.00	$1,024.09	$1,990.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $772.19 / $1,043.61 / $1,652.41	Professional		$772.19	$1,043.61	$1,652.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $777.80 / $777.80 / $945.26	Facility		$777.80	$777.80	$945.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $754.53 / $781.28 / $945.26	Professional		$754.53	$781.28	$945.26
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 $751.28 / $978.96 / $1,610.68	Professional		$751.28	$978.96	$1,610.68