Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $4,534.00 / $8,247.00	Facility		$882.00	$4,534.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.04 / $434.70 / $516.71	Professional		$397.04	$434.70	$516.71
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $330.04 / $388.28 / $756.32	Professional		$330.04	$388.28	$756.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.19 / $489.79 / $760.73	Professional		$371.19	$489.79	$760.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $582.89 / $582.89 / $601.88	Professional		$582.89	$582.89	$601.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,404.00	Facility		$1,013.00	$4,761.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $388.50 / $494.17 / $2,337.00	Professional		$388.50	$494.17	$2,337.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $642.70 / $949.00	Professional		$4.00	$642.70	$949.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $388.27 / $489.79 / $760.73	Professional		$388.27	$489.79	$760.73
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $364.40 / $364.40 / $436.27	Facility		$364.40	$364.40	$436.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $350.82 / $368.63 / $436.27	Professional		$350.82	$368.63	$436.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,440.00 / $3,475.00 / $6,000.00	Facility		$1,440.00	$3,475.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $364.76 / $479.30 / $767.46	Professional		$364.76	$479.30	$767.46