Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $10,252.00	Facility		$832.00	$4,761.00	$10,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $581.04 / $682.96 / $1,157.94	Professional		$581.04	$682.96	$1,157.94
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 $491.21 / $859.58 / $2,112.64	Professional		$491.21	$859.58	$2,112.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.94 / $1,166.52 / $2,089.10	Professional		$540.94	$1,166.52	$2,089.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $661.28 / $877.24 / $881.37	Professional		$661.28	$877.24	$881.37
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $5,350.00 / $10,121.00	Facility		$1,020.00	$5,350.00	$10,121.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $582.10 / $709.07 / $5,811.51	Professional		$582.10	$709.07	$5,811.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,122.40 / $2,510.40	Professional		$5.00	$1,122.40	$2,510.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $577.89 / $1,179.40 / $2,125.58	Professional		$577.89	$1,179.40	$2,125.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $549.04 / $549.04 / $980.51	Facility		$549.04	$549.04	$980.51
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $534.41 / $549.50 / $980.51	Professional		$534.41	$549.50	$980.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $3,914.00 / $7,000.00	Facility		$2,332.00	$3,914.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $939.89 / $1,272.29 / $2,179.92	Professional		$939.89	$1,272.29	$2,179.92