Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,070.00 / $7,629.00	Facility		$540.00	$2,070.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.48 / $432.91 / $600.61	Professional		$122.48	$432.91	$600.61
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $405.07 / $785.95 / $1,229.10	Professional		$405.07	$785.95	$1,229.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.19 / $378.54 / $894.12	Professional		$166.19	$378.54	$894.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $558.00 / $739.76 / $762.00	Professional		$558.00	$739.76	$762.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $2,266.00 / $8,017.00	Facility		$594.00	$2,266.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $126.85 / $438.04 / $1,255.18	Professional		$126.85	$438.04	$1,255.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,337.90 / $1,337.90 / $1,337.90	Professional		$1,337.90	$1,337.90	$1,337.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $166.25 / $405.96 / $916.26	Professional		$166.25	$405.96	$916.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $135.19 / $176.59 / $558.46	Facility		$135.19	$176.59	$558.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $135.19 / $461.65 / $505.99	Professional		$135.19	$461.65	$505.99
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $577.00 / $3,742.00	Facility		$162.00	$577.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $518.27 / $724.73 / $1,214.30	Professional		$518.27	$724.73	$1,214.30