Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $960.77 / $3,839.00 / $8,247.00	Facility		$960.77	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $799.70 / $907.86 / $1,262.79	Professional		$799.70	$907.86	$1,262.79
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 $942.97 / $978.55 / $1,168.26	Professional		$942.97	$978.55	$1,168.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $858.70 / $1,192.45 / $1,968.01	Professional		$858.70	$1,192.45	$1,968.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,178.99 / $1,593.48 / $1,593.48	Professional		$1,178.99	$1,593.48	$1,593.48
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 $799.70 / $960.77 / $4,668.80	Professional		$799.70	$960.77	$4,668.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $1,021.80 / $2,361.30	Professional		$10.00	$1,021.80	$2,361.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $858.70 / $1,192.45 / $1,969.85	Professional		$858.70	$1,192.45	$1,969.85
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $915.35 / $915.35 / $1,113.32	Facility		$915.35	$915.35	$1,113.32
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $873.84 / $933.61 / $1,113.32	Professional		$873.84	$933.61	$1,113.32
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 $881.23 / $1,233.10 / $1,843.28	Professional		$881.23	$1,233.10	$1,843.28