Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $821.80 / $4,635.00 / $10,398.00	Facility		$821.80	$4,635.00	$10,398.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.14 / $891.47 / $1,139.16	Professional		$766.14	$891.47	$1,139.16
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 $916.07 / $950.64 / $1,724.12	Professional		$916.07	$950.64	$1,724.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.22 / $1,167.81 / $1,850.04	Professional		$864.22	$1,167.81	$1,850.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,082.66 / $1,439.36 / $1,439.36	Professional		$1,082.66	$1,439.36	$1,439.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $5,350.00 / $11,083.00	Facility		$1,020.00	$5,350.00	$11,083.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $778.57 / $908.52 / $2,843.00	Professional		$778.57	$908.52	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,043.90 / $1,958.10	Professional		$6.00	$1,043.90	$1,958.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $873.38 / $1,185.46 / $1,925.81	Professional		$873.38	$1,185.46	$1,925.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $903.41 / $903.41 / $963.78	Facility		$903.41	$903.41	$963.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $873.25 / $910.51 / $963.78	Professional		$873.25	$910.51	$963.78
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 $845.10 / $1,143.15 / $1,847.84	Professional		$845.10	$1,143.15	$1,847.84