Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $757.63 / $3,623.00 / $7,799.00	Facility		$757.63	$3,623.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $632.66 / $757.63 / $1,258.00	Professional		$632.66	$757.63	$1,258.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $873.84 / $906.82 / $906.82	Professional		$873.84	$906.82	$906.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $641.19 / $870.02 / $1,540.74	Professional		$641.19	$870.02	$1,540.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,052.60 / $1,353.36 / $1,399.48	Professional		$1,052.60	$1,353.36	$1,399.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $3,839.00 / $8,017.00	Facility		$832.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $638.30 / $810.06 / $3,494.00	Professional		$638.30	$810.06	$3,494.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $763.60 / $763.60 / $801.90	Professional		$763.60	$763.60	$801.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,244.02 / $1,244.02 / $1,244.02	Facility		$1,244.02	$1,244.02	$1,244.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $672.57 / $892.05 / $1,558.62	Professional		$672.57	$892.05	$1,558.62
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $593.12 / $716.64 / $856.38	Facility		$593.12	$716.64	$856.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $681.61 / $759.52 / $913.34	Professional		$681.61	$759.52	$913.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,440.00 / $3,475.00 / $6,368.00	Facility		$1,440.00	$3,475.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $744.24 / $958.72 / $1,647.89	Professional		$744.24	$958.72	$1,647.89