Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.69 / $3,839.00 / $8,247.00	Facility		$896.69	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $746.53 / $848.48 / $1,180.61	Professional		$746.53	$848.48	$1,180.61
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 $775.89 / $1,180.45 / $1,625.61	Professional		$775.89	$1,180.45	$1,625.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $829.83 / $1,120.27 / $1,838.75	Professional		$829.83	$1,120.27	$1,838.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,100.01 / $1,487.14 / $1,487.14	Professional		$1,100.01	$1,487.14	$1,487.14
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,247.00	Facility		$832.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $747.51 / $896.69 / $4,369.25	Professional		$747.51	$896.69	$4,369.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $894.50 / $2,201.19	Professional		$9.00	$894.50	$2,201.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $848.41 / $1,120.27 / $1,849.05	Professional		$848.41	$1,120.27	$1,849.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $855.23 / $855.23 / $866.67	Facility		$855.23	$855.23	$866.67
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $814.97 / $866.67 / $910.36	Professional		$814.97	$866.67	$910.36
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 $872.53 / $1,155.08 / $1,730.61	Professional		$872.53	$1,155.08	$1,730.61