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 $496.87 / $558.15 / $690.68	Professional		$496.87	$558.15	$690.68
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 $437.15 / $723.90 / $923.59	Professional		$437.15	$723.90	$923.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $493.94 / $692.69 / $1,028.92	Professional		$493.94	$692.69	$1,028.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $763.70 / $763.70 / $794.70	Professional		$763.70	$763.70	$794.70
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 $496.87 / $625.55 / $2,843.00	Professional		$496.87	$625.55	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $1,248.50	Professional		$4.00	$4.00	$1,248.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $537.66 / $702.04 / $1,112.44	Professional		$537.66	$702.04	$1,112.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $485.34 / $485.34 / $589.90	Facility		$485.34	$485.34	$589.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $465.66 / $492.63 / $589.90	Professional		$465.66	$492.63	$589.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,447.00 / $3,311.00 / $6,000.00	Facility		$1,447.00	$3,311.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $519.16 / $694.30 / $1,088.00	Professional		$519.16	$694.30	$1,088.00