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 $528.11 / $594.19 / $755.96	Professional		$528.11	$594.19	$755.96
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 $526.84 / $619.80 / $619.80	Professional		$526.84	$619.80	$619.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.84 / $770.28 / $1,203.94	Professional		$575.84	$770.28	$1,203.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $698.05 / $923.74 / $929.04	Professional		$698.05	$923.74	$929.04
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 $528.11 / $637.67 / $3,139.29	Professional		$528.11	$637.67	$3,139.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $778.50 / $1,488.20	Professional		$6.00	$778.50	$1,488.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $576.46 / $778.25 / $1,213.16	Professional		$576.46	$778.25	$1,213.16
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $579.16 / $579.16 / $722.45	Facility		$579.16	$579.16	$722.45
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $562.37 / $581.19 / $722.45	Professional		$562.37	$581.19	$722.45
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 $556.47 / $706.34 / $1,194.10	Professional		$556.47	$706.34	$1,194.10