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 $735.60 / $832.71 / $1,127.63	Professional		$735.60	$832.71	$1,127.63
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 $799.48 / $1,261.66 / $1,715.64	Professional		$799.48	$1,261.66	$1,715.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $855.06 / $1,154.33 / $1,830.87	Professional		$855.06	$1,154.33	$1,830.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,070.84 / $1,423.69 / $1,423.69	Professional		$1,070.84	$1,423.69	$1,423.69
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 $735.60 / $886.48 / $2,843.00	Professional		$735.60	$886.48	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,090.90 / $2,296.69	Professional		$6.00	$1,090.90	$2,296.69
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $864.15 / $1,156.07 / $1,943.60	Professional		$864.15	$1,156.07	$1,943.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $865.14 / $894.09 / $894.09	Facility		$865.14	$894.09	$894.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $864.08 / $894.09 / $938.75	Professional		$864.08	$894.09	$938.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,222.00 / $3,475.00 / $6,000.00	Facility		$2,222.00	$3,475.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $831.11 / $1,082.13 / $1,829.48	Professional		$831.11	$1,082.13	$1,829.48