Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $764.56 / $2,422.00 / $7,799.00	Facility		$764.56	$2,422.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $764.56 / $881.97 / $1,111.33	Professional		$764.56	$881.97	$1,111.33
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 $770.53 / $906.50 / $906.50	Professional		$770.53	$906.50	$906.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $842.82 / $1,128.40 / $1,773.45	Professional		$842.82	$1,128.40	$1,773.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,016.60 / $1,344.90 / $1,349.63	Professional		$1,016.60	$1,344.90	$1,349.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,371.00 / $8,017.00	Facility		$657.00	$2,371.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $764.56 / $896.01 / $2,248.66	Professional		$764.56	$896.01	$2,248.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,075.59 / $2,167.19	Professional		$6.00	$1,075.59	$2,167.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $852.26 / $1,139.07 / $1,814.12	Professional		$852.26	$1,139.07	$1,814.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $849.94 / $849.94 / $891.18	Facility		$849.94	$849.94	$891.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $823.97 / $854.31 / $891.18	Professional		$823.97	$854.31	$891.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,781.00 / $4,789.00 / $16,362.19	Facility		$1,781.00	$4,789.00	$16,362.19
United Facility/Professional Professional Modifier Low / Median / High Price $821.12 / $1,088.77 / $1,786.10	Professional		$821.12	$1,088.77	$1,786.10