Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $2,747.00 / $8,017.00	Facility		$832.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $560.67 / $630.90 / $802.90	Professional		$560.67	$630.90	$802.90
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 $634.41 / $658.36 / $1,168.71	Professional		$634.41	$658.36	$1,168.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.29 / $817.04 / $1,278.70	Professional		$611.29	$817.04	$1,278.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $741.10 / $980.76 / $985.61	Professional		$741.10	$980.76	$985.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $934.00 / $3,120.00 / $8,017.00	Facility		$934.00	$3,120.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $560.67 / $676.56 / $2,843.00	Professional		$560.67	$676.56	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $803.70 / $1,577.60	Professional		$3.00	$803.70	$1,577.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $623.26 / $826.16 / $1,326.91	Professional		$623.26	$826.16	$1,326.91
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $614.92 / $614.92 / $722.60	Facility		$614.92	$614.92	$722.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $596.92 / $617.26 / $722.60	Professional		$596.92	$617.26	$722.60
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 $604.63 / $770.90 / $1,285.80	Professional		$604.63	$770.90	$1,285.80