Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,539.00 / $8,451.00	Facility		$832.00	$4,539.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.70 / $313.30 / $414.00	Professional		$280.70	$313.30	$414.00
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 $310.13 / $321.83 / $321.83	Professional		$310.13	$321.83	$321.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.12 / $418.86 / $632.62	Professional		$302.12	$418.86	$632.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $364.11 / $483.04 / $483.04	Professional		$364.11	$483.04	$483.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,993.00 / $9,617.00	Facility		$1,013.00	$4,993.00	$9,617.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $286.73 / $327.45 / $1,621.00	Professional		$286.73	$327.45	$1,621.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $437.70 / $775.30	Professional		$6.00	$437.70	$775.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $316.76 / $424.20 / $718.92	Professional		$316.76	$424.20	$718.92
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $304.43 / $304.43 / $438.38	Facility		$304.43	$304.43	$438.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $294.68 / $306.43 / $438.38	Professional		$294.68	$306.43	$438.38
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 $273.94 / $383.20 / $621.88	Professional		$273.94	$383.20	$621.88