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 $665.18 / $754.36 / $1,020.51	Professional		$665.18	$754.36	$1,020.51
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 $722.83 / $1,120.39 / $1,519.48	Professional		$722.83	$1,120.39	$1,519.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $781.47 / $1,056.46 / $1,656.89	Professional		$781.47	$1,056.46	$1,656.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $968.76 / $1,287.82 / $1,287.82	Professional		$968.76	$1,287.82	$1,287.82
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 $687.39 / $814.10 / $2,843.00	Professional		$687.39	$814.10	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $942.20 / $2,081.19	Professional		$6.00	$942.20	$2,081.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $782.56 / $1,060.44 / $1,778.50	Professional		$782.56	$1,060.44	$1,778.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $809.52 / $809.52 / $833.18	Facility		$809.52	$809.52	$833.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $782.67 / $815.69 / $850.63	Professional		$782.67	$815.69	$850.63
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 $771.09 / $1,021.88 / $1,748.13	Professional		$771.09	$1,021.88	$1,748.13