Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $590.16 / $3,839.00 / $8,247.00	Facility		$590.16	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $536.47 / $590.16 / $783.40	Professional		$536.47	$590.16	$783.40
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 $664.32 / $689.39 / $689.39	Professional		$664.32	$689.39	$689.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $626.72 / $834.11 / $1,328.60	Professional		$626.72	$834.11	$1,328.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $782.28 / $1,036.73 / $1,040.20	Professional		$782.28	$1,036.73	$1,040.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $765.69 / $4,761.00 / $8,247.00	Facility		$765.69	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $555.62 / $644.05 / $1,742.21	Professional		$555.62	$644.05	$1,742.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $787.90 / $1,684.60	Professional		$5.00	$787.90	$1,684.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $630.23 / $838.16 / $1,396.33	Professional		$630.23	$838.16	$1,396.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $650.67 / $650.67 / $692.31	Facility		$650.67	$650.67	$692.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $632.22 / $652.47 / $692.31	Professional		$632.22	$652.47	$692.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,175.00 / $2,715.00 / $4,789.00	Facility		$1,175.00	$2,715.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $617.13 / $849.03 / $1,395.17	Professional		$617.13	$849.03	$1,395.17