Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $3,066.00 / $7,799.00	Facility		$882.00	$3,066.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $558.54 / $626.67 / $915.51	Professional		$558.54	$626.67	$915.51
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $626.09 / $662.71 / $1,123.92	Professional		$626.09	$662.71	$1,123.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $712.39 / $1,573.36 / $1,981.35	Professional		$712.39	$1,573.36	$1,981.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $742.35 / $1,005.55 / $1,282.23	Professional		$742.35	$1,005.55	$1,282.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,839.00 / $8,017.00	Facility		$954.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $558.54 / $689.24 / $3,236.70	Professional		$558.54	$689.24	$3,236.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $805.30 / $805.30 / $1,273.90	Professional		$805.30	$805.30	$1,273.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $712.39 / $1,573.36 / $1,981.35	Professional		$712.39	$1,573.36	$1,981.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $608.23 / $608.23 / $656.13	Facility		$608.23	$608.23	$656.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $590.35 / $610.66 / $656.13	Professional		$590.35	$610.66	$656.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $5,762.00 / $22,992.86	Facility		$2,332.00	$5,762.00	$22,992.86
United Facility/Professional Professional Modifier Low / Median / High Price $580.02 / $771.20 / $1,243.83	Professional		$580.02	$771.20	$1,243.83