Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $4,761.00 / $8,451.00	Facility		$921.00	$4,761.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.89 / $616.28 / $739.60	Professional		$516.89	$616.28	$739.60
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $28,970.26	Facility		$8,639.91	$11,851.00	$28,970.26
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $584.09 / $606.13 / $606.13	Professional		$584.09	$606.13	$606.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $563.04 / $752.57 / $1,209.90	Professional		$563.04	$752.57	$1,209.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $682.02 / $902.55 / $906.82	Professional		$682.02	$902.55	$906.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,054.00 / $5,342.00 / $9,617.00	Facility		$1,054.00	$5,342.00	$9,617.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $516.89 / $632.09 / $2,843.00	Professional		$516.89	$632.09	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $840.60 / $1,453.60	Professional		$6.00	$840.60	$1,453.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $574.34 / $760.96 / $1,264.10	Professional		$574.34	$760.96	$1,264.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $566.39 / $566.39 / $835.04	Facility		$566.39	$566.39	$835.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $550.07 / $568.59 / $835.04	Professional		$550.07	$568.59	$835.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $3,914.00 / $7,000.00	Facility		$2,332.00	$3,914.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $577.91 / $710.58 / $1,169.11	Professional		$577.91	$710.58	$1,169.11