Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $4,304.00 / $8,247.00	Facility		$882.00	$4,304.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $673.69 / $788.40 / $975.33	Professional		$673.69	$788.40	$975.33
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 $816.38 / $847.19 / $847.19	Professional		$816.38	$847.19	$847.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $799.42 / $1,042.94 / $1,662.21	Professional		$799.42	$1,042.94	$1,662.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $998.31 / $1,342.49 / $1,342.49	Professional		$998.31	$1,342.49	$1,342.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,404.00	Facility		$1,013.00	$4,761.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $683.92 / $844.14 / $2,133.10	Professional		$683.92	$844.14	$2,133.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $892.30 / $2,055.90	Professional		$6.00	$892.30	$2,055.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $799.42 / $1,043.64 / $1,721.39	Professional		$799.42	$1,043.64	$1,721.39
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $803.87 / $803.87 / $811.56	Facility		$803.87	$803.87	$811.56
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $768.86 / $811.56 / $849.28	Professional		$768.86	$811.56	$849.28
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 $733.17 / $973.58 / $1,633.25	Professional		$733.17	$973.58	$1,633.25