Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.00 / $3,748.00 / $8,017.00	Facility		$768.00	$3,748.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.45 / $535.94 / $662.76	Professional		$471.45	$535.94	$662.76
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 $486.03 / $504.37 / $504.37	Professional		$486.03	$504.37	$504.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $469.08 / $619.01 / $1,022.71	Professional		$469.08	$619.01	$1,022.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $751.13 / $751.13 / $754.74	Professional		$751.13	$751.13	$754.74
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 $471.45 / $596.37 / $2,860.76	Professional		$471.45	$596.37	$2,860.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $839.50 / $1,208.50	Professional		$3.00	$839.50	$1,208.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $487.40 / $628.85 / $988.32	Professional		$487.40	$628.85	$988.32
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $471.29 / $471.29 / $572.21	Facility		$471.29	$471.29	$572.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $457.45 / $473.13 / $572.21	Professional		$457.45	$473.13	$572.21
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 $473.17 / $605.87 / $948.13	Professional		$473.17	$605.87	$948.13