Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $2,371.00 / $7,799.00	Facility		$594.00	$2,371.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.50 / $456.23 / $573.50	Professional		$397.50	$456.23	$573.50
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 $453.14 / $470.24 / $470.24	Professional		$453.14	$470.24	$470.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.77 / $591.64 / $915.05	Professional		$437.77	$591.64	$915.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $529.36 / $700.34 / $705.14	Professional		$529.36	$700.34	$705.14
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 $397.50 / $485.93 / $2,387.11	Professional		$397.50	$485.93	$2,387.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $619.50 / $1,131.20	Professional		$3.00	$619.50	$1,131.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $448.87 / $604.21 / $1,020.94	Professional		$448.87	$604.21	$1,020.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $439.43 / $439.43 / $498.10	Facility		$439.43	$439.43	$498.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $426.75 / $440.91 / $498.10	Professional		$426.75	$440.91	$498.10
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 $449.05 / $562.91 / $930.85	Professional		$449.05	$562.91	$930.85