Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $956.56 / $3,839.00 / $8,247.00	Facility		$956.56	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $956.56 / $1,092.59 / $1,389.46	Professional		$956.56	$1,092.59	$1,389.46
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 $1,092.86 / $1,134.10 / $1,134.10	Professional		$1,092.86	$1,134.10	$1,134.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,054.03 / $1,411.41 / $2,218.21	Professional		$1,054.03	$1,411.41	$2,218.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,271.98 / $1,682.79 / $1,688.67	Professional		$1,271.98	$1,682.79	$1,688.67
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,247.00	Facility		$832.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $956.56 / $1,110.07 / $2,843.00	Professional		$956.56	$1,110.07	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,350.60 / $2,711.60	Professional		$6.00	$1,350.60	$2,711.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,054.53 / $1,425.19 / $2,218.65	Professional		$1,054.53	$1,425.19	$2,218.65
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,062.75 / $1,062.75 / $1,287.41	Facility		$1,062.75	$1,062.75	$1,287.41
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,030.38 / $1,068.11 / $1,287.41	Professional		$1,030.38	$1,068.11	$1,287.41
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,391.00 / $6,322.00	Facility		$625.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,028.73 / $1,322.20 / $2,203.69	Professional		$1,028.73	$1,322.20	$2,203.69