Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.00 / $3,745.00 / $8,017.00	Facility		$768.00	$3,745.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.25 / $233.81 / $286.52	Professional		$202.25	$233.81	$286.52
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 $191.38 / $198.60 / $318.91	Professional		$191.38	$198.60	$318.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.60 / $271.12 / $459.78	Professional		$200.60	$271.12	$459.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $285.72 / $285.72 / $291.91	Professional		$285.72	$285.72	$291.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,964.00 / $8,017.00	Facility		$954.00	$3,964.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $202.25 / $258.47 / $2,843.00	Professional		$202.25	$258.47	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $377.60 / $522.70	Professional		$6.00	$377.60	$522.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $207.63 / $274.50 / $459.78	Professional		$207.63	$274.50	$459.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $203.70 / $203.70 / $322.58	Facility		$203.70	$203.70	$322.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $197.70 / $204.54 / $322.58	Professional		$197.70	$204.54	$322.58
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 $199.68 / $270.05 / $413.09	Professional		$199.68	$270.05	$413.09