Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $4,304.00 / $8,240.00	Facility		$882.00	$4,304.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.35 / $699.27 / $981.97	Professional		$660.35	$699.27	$981.97
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 $796.30 / $826.35 / $826.35	Professional		$796.30	$826.35	$826.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $637.66 / $863.91 / $1,514.77	Professional		$637.66	$863.91	$1,514.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $955.96 / $1,229.08 / $1,271.76	Professional		$955.96	$1,229.08	$1,271.76
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,247.00	Facility		$1,013.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $691.48 / $779.78 / $4,770.84	Professional		$691.48	$779.78	$4,770.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $793.50 / $793.50 / $832.40	Professional		$793.50	$793.50	$832.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $901.69 / $901.69 / $901.69	Facility		$901.69	$901.69	$901.69
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $685.28 / $868.22 / $1,607.10	Professional		$685.28	$868.22	$1,607.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $688.84 / $778.12 / $778.12	Facility		$688.84	$778.12	$778.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $688.84 / $778.12 / $826.52	Professional		$688.84	$778.12	$826.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $5,509.00 / $11,783.22	Facility		$2,332.00	$5,509.00	$11,783.22
United Facility/Professional Professional Modifier Low / Median / High Price $664.19 / $847.85 / $1,511.73	Professional		$664.19	$847.85	$1,511.73