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 $514.50 / $612.66 / $736.74	Professional		$514.50	$612.66	$736.74
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 $513.37 / $603.97 / $603.97	Professional		$513.37	$603.97	$603.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $557.40 / $750.04 / $1,146.81	Professional		$557.40	$750.04	$1,146.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $680.22 / $900.17 / $905.26	Professional		$680.22	$900.17	$905.26
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 $514.50 / $621.24 / $3,056.92	Professional		$514.50	$621.24	$3,056.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $730.10 / $1,449.80	Professional		$5.00	$730.10	$1,449.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $561.33 / $758.63 / $1,173.52	Professional		$561.33	$758.63	$1,173.52
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $564.36 / $564.36 / $635.85	Facility		$564.36	$564.36	$635.85
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $547.92 / $566.40 / $635.85	Professional		$547.92	$566.40	$635.85
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 $543.08 / $696.79 / $1,162.83	Professional		$543.08	$696.79	$1,162.83