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 $472.71 / $546.00 / $664.71	Professional		$472.71	$546.00	$664.71
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 $478.91 / $496.98 / $811.90	Professional		$478.91	$496.98	$811.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $462.78 / $618.75 / $1,015.90	Professional		$462.78	$618.75	$1,015.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $745.84 / $745.84 / $773.92	Professional		$745.84	$745.84	$773.92
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 $472.71 / $600.00 / $2,843.00	Professional		$472.71	$600.00	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $697.70 / $1,214.09	Professional		$6.00	$697.70	$1,214.09
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $474.39 / $625.04 / $1,015.90	Professional		$474.39	$625.04	$1,015.90
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $453.99 / $468.16 / $468.16	Facility		$453.99	$468.16	$468.16
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $450.13 / $468.16 / $493.99	Professional		$450.13	$468.16	$493.99
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 $443.63 / $583.69 / $949.56	Professional		$443.63	$583.69	$949.56