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 $623.48 / $717.77 / $903.96	Professional		$623.48	$717.77	$903.96
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 $713.10 / $740.01 / $1,141.33	Professional		$713.10	$740.01	$1,141.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.96 / $919.96 / $1,409.95	Professional		$676.96	$919.96	$1,409.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $832.35 / $1,101.40 / $1,106.77	Professional		$832.35	$1,101.40	$1,106.77
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 $623.48 / $741.87 / $3,748.00	Professional		$623.48	$741.87	$3,748.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $984.90 / $1,772.00	Professional		$3.00	$984.90	$1,772.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $687.68 / $929.40 / $1,516.67	Professional		$687.68	$929.40	$1,516.67
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $692.07 / $692.07 / $805.65	Facility		$692.07	$692.07	$805.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $671.59 / $694.94 / $805.65	Professional		$671.59	$694.94	$805.65
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,000.00	Facility		$2,155.00	$3,475.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $679.02 / $893.56 / $1,449.13	Professional		$679.02	$893.56	$1,449.13