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 / $8,240.00	Facility		$882.00	$4,304.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.05 / $668.19 / $873.48	Professional		$602.05	$668.19	$873.48
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 $606.98 / $966.38 / $1,287.42	Professional		$606.98	$966.38	$1,287.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $664.04 / $894.29 / $1,393.34	Professional		$664.04	$894.29	$1,393.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $802.71 / $1,062.16 / $1,066.92	Professional		$802.71	$1,062.16	$1,066.92
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 $629.46 / $705.58 / $3,622.50	Professional		$629.46	$705.58	$3,622.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $875.20 / $1,710.50	Professional		$6.00	$875.20	$1,710.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $668.58 / $898.05 / $1,422.80	Professional		$668.58	$898.05	$1,422.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $668.60 / $668.60 / $741.62	Facility		$668.60	$668.60	$741.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $648.67 / $671.49 / $741.62	Professional		$648.67	$671.49	$741.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $661.10 / $856.48 / $1,385.51	Professional		$661.10	$856.48	$1,385.51