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 $551.37 / $599.91 / $766.85	Professional		$551.37	$599.91	$766.85
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 $462.43 / $855.71 / $1,236.11	Professional		$462.43	$855.71	$1,236.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.66 / $743.67 / $1,168.18	Professional		$512.66	$743.67	$1,168.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $806.59 / $806.59 / $844.49	Professional		$806.59	$806.59	$844.49
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 $496.98 / $616.86 / $2,780.13	Professional		$496.98	$616.86	$2,780.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $756.80 / $1,326.40	Professional		$3.00	$756.80	$1,326.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $568.77 / $743.67 / $1,168.18	Professional		$568.77	$743.67	$1,168.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $522.41 / $522.41 / $587.52	Facility		$522.41	$522.41	$587.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $500.87 / $530.60 / $587.52	Professional		$500.87	$530.60	$587.52
United Facility/Professional Facility Modifier Low / Median / High Price $435.00 / $1,305.00 / $3,742.00	Facility		$435.00	$1,305.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $528.22 / $717.14 / $1,093.33	Professional		$528.22	$717.14	$1,093.33