Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $4,304.00 / $8,404.00	Facility		$882.00	$4,304.00	$8,404.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.60 / $421.79 / $510.43	Professional		$363.60	$421.79	$510.43
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 $416.20 / $431.90 / $431.90	Professional		$416.20	$431.90	$431.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.29 / $539.58 / $839.90	Professional		$401.29	$539.58	$839.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $487.68 / $645.38 / $650.54	Professional		$487.68	$645.38	$650.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,404.00	Facility		$1,013.00	$4,761.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $378.65 / $449.15 / $2,195.28	Professional		$378.65	$449.15	$2,195.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $554.60 / $1,038.20	Professional		$3.00	$554.60	$1,038.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $407.59 / $542.34 / $844.04	Professional		$407.59	$542.34	$844.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $402.98 / $402.98 / $454.28	Facility		$402.98	$402.98	$454.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $391.75 / $403.92 / $454.28	Professional		$391.75	$403.92	$454.28
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 $412.64 / $501.89 / $843.13	Professional		$412.64	$501.89	$843.13