Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $3,627.00 / $8,017.00	Facility		$749.00	$3,627.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.79 / $289.07 / $365.81	Professional		$254.79	$289.07	$365.81
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 $287.07 / $297.89 / $297.89	Professional		$287.07	$297.89	$297.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.14 / $378.42 / $589.79	Professional		$277.14	$378.42	$589.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $332.69 / $440.02 / $440.54	Professional		$332.69	$440.02	$440.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $768.00 / $3,839.00 / $8,017.00	Facility		$768.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $254.79 / $315.07 / $1,544.00	Professional		$254.79	$315.07	$1,544.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $373.00 / $706.90	Professional		$3.00	$373.00	$706.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $284.36 / $383.03 / $660.52	Professional		$284.36	$383.03	$660.52
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $279.37 / $279.37 / $441.93	Facility		$279.37	$279.37	$441.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $270.48 / $281.18 / $441.93	Professional		$270.48	$281.18	$441.93
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 $284.05 / $366.46 / $613.33	Professional		$284.05	$366.46	$613.33