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 $561.91 / $632.60 / $804.62	Professional		$561.91	$632.60	$804.62
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 $635.77 / $659.76 / $659.76	Professional		$635.77	$659.76	$659.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $612.91 / $818.82 / $1,281.48	Professional		$612.91	$818.82	$1,281.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $742.58 / $982.68 / $987.65	Professional		$742.58	$982.68	$987.65
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 $561.91 / $677.99 / $3,338.94	Professional		$561.91	$677.99	$3,338.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $772.40 / $1,581.00	Professional		$3.00	$772.40	$1,581.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $619.37 / $828.35 / $1,306.24	Professional		$619.37	$828.35	$1,306.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $616.26 / $616.26 / $638.01	Facility		$616.26	$616.26	$638.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $598.23 / $618.59 / $646.01	Professional		$598.23	$618.59	$646.01
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 $593.41 / $779.72 / $1,273.78	Professional		$593.41	$779.72	$1,273.78