Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $2,747.00 / $8,017.00	Facility		$832.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $583.52 / $624.03 / $784.34	Professional		$583.52	$624.03	$784.34
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 $629.04 / $652.78 / $652.78	Professional		$629.04	$652.78	$652.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $581.32 / $728.63 / $1,258.31	Professional		$581.32	$728.63	$1,258.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $745.47 / $958.46 / $988.98	Professional		$745.47	$958.46	$988.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $934.00 / $3,120.00 / $8,017.00	Facility		$934.00	$3,120.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $604.20 / $693.34 / $3,246.96	Professional		$604.20	$693.34	$3,246.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $865.00 / $865.00 / $912.20	Professional		$865.00	$865.00	$912.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $713.35 / $713.35 / $713.35	Facility		$713.35	$713.35	$713.35
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $593.44 / $728.86 / $1,289.74	Professional		$593.44	$728.86	$1,289.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $616.55 / $616.55 / $866.03	Facility		$616.55	$616.55	$866.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $616.55 / $617.73 / $866.03	Professional		$616.55	$617.73	$866.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.00 / $2,884.00 / $6,000.00	Facility		$1,122.00	$2,884.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $572.41 / $703.40 / $1,164.42	Professional		$572.41	$703.40	$1,164.42