Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $925.33 / $4,304.00 / $8,240.00	Facility		$925.33	$4,304.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $835.34 / $890.12 / $1,248.43	Professional		$835.34	$890.12	$1,248.43
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 $1,007.35 / $1,045.35 / $1,045.35	Professional		$1,007.35	$1,045.35	$1,045.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $820.77 / $1,092.88 / $1,915.04	Professional		$820.77	$1,092.88	$1,915.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,207.56 / $1,552.58 / $1,606.49	Professional		$1,207.56	$1,552.58	$1,606.49
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 $876.07 / $986.77 / $5,288.96	Professional		$876.07	$986.77	$5,288.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,019.70 / $1,019.70 / $1,069.80	Professional		$1,019.70	$1,019.70	$1,069.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,139.39 / $1,139.39 / $1,139.39	Facility		$1,139.39	$1,139.39	$1,139.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $863.33 / $1,097.92 / $2,033.52	Professional		$863.33	$1,097.92	$2,033.52
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $945.55 / $984.98 / $984.98	Facility		$945.55	$984.98	$984.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $945.55 / $984.98 / $1,044.99	Professional		$945.55	$984.98	$1,044.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,440.00 / $3,475.00 / $6,368.00	Facility		$1,440.00	$3,475.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $816.07 / $1,078.88 / $1,824.86	Professional		$816.07	$1,078.88	$1,824.86