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 $698.54 / $819.28 / $1,014.54	Professional		$698.54	$819.28	$1,014.54
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $758.87 / $1,214.89 / $1,717.70	Professional		$758.87	$1,214.89	$1,717.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.78 / $1,101.03 / $1,738.98	Professional		$814.78	$1,101.03	$1,738.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,016.36 / $1,351.02 / $1,351.02	Professional		$1,016.36	$1,351.02	$1,351.02
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 $700.00 / $845.25 / $2,616.00	Professional		$700.00	$845.25	$2,616.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,004.40 / $2,182.90	Professional		$6.00	$1,004.40	$2,182.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $820.66 / $1,114.32 / $1,861.51	Professional		$820.66	$1,114.32	$1,861.51
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $837.06 / $850.49 / $850.49	Facility		$837.06	$850.49	$850.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $821.98 / $850.49 / $893.30	Professional		$821.98	$850.49	$893.30
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 $810.69 / $1,074.85 / $1,761.14	Professional		$810.69	$1,074.85	$1,761.14