Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $4,761.00 / $8,451.00	Facility		$921.00	$4,761.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $673.64 / $765.09 / $1,029.15	Professional		$673.64	$765.09	$1,029.15
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $28,970.26	Facility		$8,639.91	$11,851.00	$28,970.26
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $836.99 / $868.57 / $868.57	Professional		$836.99	$868.57	$868.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $791.81 / $1,065.97 / $1,674.65	Professional		$791.81	$1,065.97	$1,674.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $988.98 / $1,314.65 / $1,314.65	Professional		$988.98	$1,314.65	$1,314.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,054.00 / $5,342.00 / $9,617.00	Facility		$1,054.00	$5,342.00	$9,617.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $692.08 / $840.59 / $2,843.00	Professional		$692.08	$840.59	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $983.90 / $2,105.50	Professional		$6.00	$983.90	$2,105.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $799.14 / $1,066.91 / $1,749.77	Professional		$799.14	$1,066.91	$1,749.77
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $817.19 / $817.19 / $817.19	Facility		$817.19	$817.19	$817.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $790.88 / $822.65 / $857.74	Professional		$790.88	$822.65	$857.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $3,914.00 / $7,000.00	Facility		$2,332.00	$3,914.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $775.64 / $1,052.20 / $1,661.94	Professional		$775.64	$1,052.20	$1,661.94