Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $4,264.00 / $8,240.00	Facility		$882.00	$4,264.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.39 / $535.34 / $674.56	Professional		$467.39	$535.34	$674.56
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 $533.47 / $553.60 / $846.91	Professional		$533.47	$553.60	$846.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $515.13 / $690.22 / $1,077.83	Professional		$515.13	$690.22	$1,077.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $624.00 / $825.71 / $831.39	Professional		$624.00	$825.71	$831.39
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,247.00	Facility		$1,013.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $487.31 / $572.66 / $2,811.21	Professional		$487.31	$572.66	$2,811.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $703.20 / $1,331.80	Professional		$3.00	$703.20	$1,331.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $524.77 / $696.20 / $1,088.04	Professional		$524.77	$696.20	$1,088.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $517.04 / $517.04 / $565.77	Facility		$517.04	$517.04	$565.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $502.27 / $518.62 / $565.77	Professional		$502.27	$518.62	$565.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,447.00 / $3,311.00 / $6,000.00	Facility		$1,447.00	$3,311.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $503.80 / $662.33 / $1,125.60	Professional		$503.80	$662.33	$1,125.60