Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $4,761.00 / $8,451.00	Facility		$882.00	$4,761.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.96 / $206.39 / $318.39	Professional		$180.96	$206.39	$318.39
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 $201.33 / $208.92 / $248.19	Professional		$201.33	$208.92	$248.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.92 / $321.32 / $502.16	Professional		$208.92	$321.32	$502.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $239.80 / $319.91 / $319.91	Professional		$239.80	$319.91	$319.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $5,342.00 / $9,617.00	Facility		$1,020.00	$5,342.00	$9,617.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $180.96 / $209.11 / $1,544.00	Professional		$180.96	$209.11	$1,544.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $336.60 / $505.60	Professional		$5.00	$336.60	$505.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $210.07 / $321.32 / $582.34	Professional		$210.07	$321.32	$582.34
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $197.63 / $197.63 / $262.08	Facility		$197.63	$197.63	$262.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $190.41 / $200.12 / $262.08	Professional		$190.41	$200.12	$262.08
United Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $2,391.00 / $4,789.00	Facility		$814.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $208.70 / $305.64 / $441.38	Professional		$208.70	$305.64	$441.38