Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $593.73 / $2,747.00 / $8,113.00	Facility		$593.73	$2,747.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $557.30 / $727.79 / $1,023.34	Professional		$557.30	$727.79	$1,023.34
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 $831.34 / $862.71 / $862.71	Professional		$831.34	$862.71	$862.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $599.79 / $823.49 / $1,492.13	Professional		$599.79	$823.49	$1,492.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $993.52 / $1,277.38 / $1,314.72	Professional		$993.52	$1,277.38	$1,314.72
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $772.23 / $4,761.00 / $8,247.00	Facility		$772.23	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $565.65 / $736.06 / $3,605.72	Professional		$565.65	$736.06	$3,605.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $570.40 / $570.40 / $598.90	Professional		$570.40	$570.40	$598.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,113.94 / $1,113.94 / $1,113.94	Facility		$1,113.94	$1,113.94	$1,113.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $610.97 / $844.73 / $1,526.74	Professional		$610.97	$844.73	$1,526.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $546.02 / $642.16 / $819.85	Facility		$546.02	$642.16	$819.85
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $627.95 / $703.77 / $876.65	Professional		$627.95	$703.77	$876.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.00 / $2,884.00 / $6,000.00	Facility		$1,122.00	$2,884.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $718.96 / $916.30 / $1,634.24	Professional		$718.96	$916.30	$1,634.24