Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.00 / $3,838.00 / $8,017.00	Facility		$768.00	$3,838.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.24 / $161.05 / $196.28	Professional		$140.24	$161.05	$196.28
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 $136.58 / $141.74 / $211.47	Professional		$136.58	$141.74	$211.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.29 / $186.62 / $293.11	Professional		$135.29	$186.62	$293.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $208.48 / $208.48 / $220.20	Professional		$208.48	$208.48	$220.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $4,068.00 / $8,247.00	Facility		$954.00	$4,068.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $140.24 / $176.54 / $1,749.00	Professional		$140.24	$176.54	$1,749.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $285.39 / $346.10	Professional		$6.00	$285.39	$346.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $142.37 / $190.91 / $293.11	Professional		$142.37	$190.91	$293.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $135.07 / $135.07 / $285.61	Facility		$135.07	$135.07	$285.61
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $128.84 / $137.77 / $285.61	Professional		$128.84	$137.77	$285.61
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 $135.29 / $179.00 / $289.43	Professional		$135.29	$179.00	$289.43