Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $2,371.00 / $7,799.00	Facility		$594.00	$2,371.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.20 / $485.98 / $619.88	Professional		$432.20	$485.98	$619.88
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $428.61 / $683.72 / $928.51	Professional		$428.61	$683.72	$928.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $481.33 / $640.77 / $998.07	Professional		$481.33	$640.77	$998.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $562.25 / $743.63 / $743.63	Professional		$562.25	$743.63	$743.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,371.00 / $8,017.00	Facility		$641.00	$2,371.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $432.20 / $517.32 / $2,572.67	Professional		$432.20	$517.32	$2,572.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $583.79 / $1,195.30	Professional		$7.00	$583.79	$1,195.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $497.73 / $644.86 / $1,119.00	Professional		$497.73	$644.86	$1,119.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $473.04 / $473.04 / $480.18	Facility		$473.04	$473.04	$480.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $457.67 / $476.45 / $492.66	Professional		$457.67	$476.45	$492.66
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 $469.98 / $605.74 / $1,004.91	Professional		$469.98	$605.74	$1,004.91