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 $615.86 / $709.92 / $892.09	Professional		$615.86	$709.92	$892.09
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 $703.15 / $729.68 / $1,360.28	Professional		$703.15	$729.68	$1,360.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $678.63 / $909.89 / $1,429.94	Professional		$678.63	$909.89	$1,429.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $820.04 / $1,085.03 / $1,089.99	Professional		$820.04	$1,085.03	$1,089.99
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 $617.76 / $721.13 / $3,711.54	Professional		$617.76	$721.13	$3,711.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $940.90 / $1,749.20	Professional		$3.00	$940.90	$1,749.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $691.77 / $917.17 / $1,473.08	Professional		$691.77	$917.17	$1,473.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $682.82 / $682.82 / $778.27	Facility		$682.82	$682.82	$778.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $662.47 / $685.80 / $778.27	Professional		$662.47	$685.80	$778.27
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 $684.22 / $870.17 / $1,421.38	Professional		$684.22	$870.17	$1,421.38