Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $2,422.00 / $7,799.00	Facility		$594.00	$2,422.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.31 / $505.15 / $665.31	Professional		$460.31	$505.15	$665.31
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,480.74	Facility		$13,531.00	$27,840.00	$46,480.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $463.37 / $737.03 / $1,024.67	Professional		$463.37	$737.03	$1,024.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.74 / $677.54 / $1,054.44	Professional		$495.74	$677.54	$1,054.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $614.72 / $813.40 / $819.45	Professional		$614.72	$813.40	$819.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,371.00 / $8,017.00	Facility		$641.00	$2,371.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $479.68 / $565.74 / $2,759.37	Professional		$479.68	$565.74	$2,759.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $637.20 / $1,312.20	Professional		$6.00	$637.20	$1,312.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $507.53 / $685.93 / $1,098.39	Professional		$507.53	$685.93	$1,098.39
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $509.93 / $509.93 / $580.87	Facility		$509.93	$509.93	$580.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $494.84 / $511.50 / $580.87	Professional		$494.84	$511.50	$580.87
United Facility/Professional Facility Modifier Low / Median / High Price $435.00 / $1,305.00 / $3,742.00	Facility		$435.00	$1,305.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $493.64 / $642.32 / $1,047.09	Professional		$493.64	$642.32	$1,047.09