Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $810.00 / $4,122.00 / $8,240.00	Facility		$810.00	$4,122.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.08 / $551.09 / $726.78	Professional		$495.08	$551.09	$726.78
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 $479.50 / $772.24 / $1,047.04	Professional		$479.50	$772.24	$1,047.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.10 / $711.60 / $1,106.21	Professional		$519.10	$711.60	$1,106.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $637.17 / $845.15 / $845.15	Professional		$637.17	$845.15	$845.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $926.00 / $4,597.00 / $8,247.00	Facility		$926.00	$4,597.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $503.87 / $586.32 / $2,844.97	Professional		$503.87	$586.32	$2,844.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $974.70 / $1,360.70	Professional		$6.00	$974.70	$1,360.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $526.53 / $731.02 / $1,263.66	Professional		$526.53	$731.02	$1,263.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $534.29 / $534.29 / $625.65	Facility		$534.29	$534.29	$625.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $517.05 / $537.92 / $625.65	Professional		$517.05	$537.92	$625.65
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,000.00	Facility		$2,155.00	$3,475.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $489.29 / $666.69 / $1,094.05	Professional		$489.29	$666.69	$1,094.05