Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.00 / $3,745.00 / $8,017.00	Facility		$768.00	$3,745.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.70 / $420.10 / $533.14	Professional		$372.70	$420.10	$533.14
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $422.20 / $438.13 / $438.13	Professional		$422.20	$438.13	$438.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.42 / $575.79 / $851.38	Professional		$407.42	$575.79	$851.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $494.60 / $654.50 / $659.81	Professional		$494.60	$654.50	$659.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,839.00 / $8,017.00	Facility		$954.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $372.70 / $452.21 / $2,219.59	Professional		$372.70	$452.21	$2,219.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $635.50 / $1,055.50	Professional		$3.00	$635.50	$1,055.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $438.13 / $575.79 / $977.80	Professional		$438.13	$575.79	$977.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $408.91 / $408.91 / $533.98	Facility		$408.91	$408.91	$533.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $397.45 / $409.91 / $533.98	Professional		$397.45	$409.91	$533.98
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 $416.99 / $532.38 / $852.44	Professional		$416.99	$532.38	$852.44