Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.67 / $2,747.00 / $8,017.00	Facility		$797.67	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.40 / $716.91 / $1,054.75	Professional		$577.40	$716.91	$1,054.75
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $860.03 / $892.49 / $892.49	Professional		$860.03	$892.49	$892.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $622.73 / $840.07 / $1,438.18	Professional		$622.73	$840.07	$1,438.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,038.29 / $1,334.95 / $1,380.80	Professional		$1,038.29	$1,334.95	$1,380.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $3,120.00 / $8,017.00	Facility		$918.00	$3,120.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $619.57 / $766.26 / $3,788.73	Professional		$619.57	$766.26	$3,788.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $740.10 / $740.10 / $778.90	Professional		$740.10	$740.10	$778.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,212.08 / $1,212.08 / $1,212.08	Facility		$1,212.08	$1,212.08	$1,212.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $649.91 / $851.92 / $1,534.43	Professional		$649.91	$851.92	$1,534.43
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $662.56 / $698.60 / $843.09	Facility		$662.56	$698.60	$843.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $678.96 / $778.62 / $900.43	Professional		$678.96	$778.62	$900.43
United Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $2,391.00 / $6,000.00	Facility		$637.00	$2,391.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $675.53 / $908.39 / $1,620.12	Professional		$675.53	$908.39	$1,620.12