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 $176.32 / $195.53 / $231.50	Professional		$176.32	$195.53	$231.50
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $28,970.26	Facility		$8,639.91	$11,851.00	$28,970.26
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $164.19 / $170.39 / $170.39	Professional		$164.19	$170.39	$170.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.81 / $225.64 / $344.28	Professional		$165.81	$225.64	$344.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $250.27 / $250.27 / $260.25	Professional		$250.27	$250.27	$260.25
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 $176.32 / $214.46 / $2,337.00	Professional		$176.32	$214.46	$2,337.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $312.80 / $415.70	Professional		$4.00	$312.80	$415.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $177.19 / $235.64 / $345.22	Professional		$177.19	$235.64	$345.22
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $162.40 / $162.40 / $252.49	Facility		$162.40	$162.40	$252.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $155.57 / $165.10 / $252.49	Professional		$155.57	$165.10	$252.49
United Facility/Professional Facility Modifier Low / Median / High Price $2,304.00 / $4,584.00 / $9,631.00	Facility		$2,304.00	$4,584.00	$9,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.09 / $223.65 / $347.00	Professional		$164.09	$223.65	$347.00