Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $4,264.00 / $8,240.00	Facility		$882.00	$4,264.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.72 / $469.68 / $595.80	Professional		$416.72	$469.68	$595.80
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 $471.48 / $489.27 / $489.27	Professional		$471.48	$489.27	$489.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.64 / $608.54 / $931.68	Professional		$449.64	$608.54	$931.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $552.29 / $730.75 / $737.30	Professional		$552.29	$730.75	$737.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,247.00	Facility		$1,013.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $416.72 / $505.80 / $2,476.55	Professional		$416.72	$505.80	$2,476.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $605.50 / $1,181.20	Professional		$6.00	$605.50	$1,181.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $460.25 / $615.70 / $954.10	Professional		$460.25	$615.70	$954.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $457.05 / $457.05 / $575.35	Facility		$457.05	$457.05	$575.35
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $444.32 / $458.10 / $575.35	Professional		$444.32	$458.10	$575.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $428.17 / $570.08 / $937.96	Professional		$428.17	$570.08	$937.96