Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,326.00 / $7,799.00	Facility		$540.00	$2,326.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.77 / $351.68 / $449.76	Professional		$313.77	$351.68	$449.76
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 $310.55 / $496.17 / $668.83	Professional		$310.55	$496.17	$668.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.75 / $465.79 / $722.99	Professional		$348.75	$465.79	$722.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $407.59 / $539.04 / $539.34	Professional		$407.59	$539.04	$539.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,326.00 / $8,017.00	Facility		$617.00	$2,326.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $313.77 / $376.05 / $1,867.60	Professional		$313.77	$376.05	$1,867.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $448.40 / $869.00	Professional		$6.00	$448.40	$869.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $369.54 / $468.18 / $809.18	Professional		$369.54	$468.18	$809.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $343.28 / $343.28 / $413.07	Facility		$343.28	$343.28	$413.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $332.17 / $345.70 / $413.07	Professional		$332.17	$345.70	$413.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,175.00 / $2,824.00 / $4,815.00	Facility		$1,175.00	$2,824.00	$4,815.00
United Facility/Professional Professional Modifier Low / Median / High Price $353.36 / $438.39 / $728.89	Professional		$353.36	$438.39	$728.89