Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $2,747.00 / $8,017.00	Facility		$832.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.03 / $567.54 / $796.63	Professional		$496.03	$567.54	$796.63
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 $649.55 / $674.07 / $1,063.95	Professional		$649.55	$674.07	$1,063.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $504.51 / $674.07 / $1,178.68	Professional		$504.51	$674.07	$1,178.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $780.72 / $1,003.78 / $1,038.65	Professional		$780.72	$1,003.78	$1,038.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $934.00 / $3,389.00 / $8,017.00	Facility		$934.00	$3,389.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $537.98 / $613.02 / $3,394.47	Professional		$537.98	$613.02	$3,394.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $600.90 / $600.90 / $631.79	Professional		$600.90	$600.90	$631.79
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $736.16 / $736.16 / $736.16	Facility		$736.16	$736.16	$736.16
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $516.86 / $704.08 / $1,242.89	Professional		$516.86	$704.08	$1,242.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $582.59 / $632.94 / $632.94	Facility		$582.59	$632.94	$632.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $582.59 / $632.94 / $672.87	Professional		$582.59	$632.94	$672.87
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 $528.66 / $684.62 / $1,261.44	Professional		$528.66	$684.62	$1,261.44