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 $744.47 / $789.44 / $1,098.76	Professional		$744.47	$789.44	$1,098.76
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 $895.91 / $929.72 / $929.72	Professional		$895.91	$929.72	$929.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $718.42 / $953.66 / $1,674.64	Professional		$718.42	$953.66	$1,674.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,076.06 / $1,383.51 / $1,431.60	Professional		$1,076.06	$1,383.51	$1,431.60
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 $780.57 / $880.49 / $5,100.00	Professional		$780.57	$880.49	$5,100.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $868.40 / $868.40 / $911.30	Professional		$868.40	$868.40	$911.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,014.77 / $1,014.77 / $1,014.77	Facility		$1,014.77	$1,014.77	$1,014.77
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $744.69 / $971.98 / $1,815.14	Professional		$744.69	$971.98	$1,815.14
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $790.35 / $876.78 / $876.78	Facility		$790.35	$876.78	$876.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $790.35 / $876.78 / $931.64	Professional		$790.35	$876.78	$931.64
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 $696.78 / $943.03 / $1,749.35	Professional		$696.78	$943.03	$1,749.35