Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $4,761.00 / $8,451.00	Facility		$921.00	$4,761.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $643.24 / $730.11 / $983.67	Professional		$643.24	$730.11	$983.67
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 $790.26 / $820.08 / $1,351.96	Professional		$790.26	$820.08	$1,351.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $745.53 / $1,002.34 / $1,552.24	Professional		$745.53	$1,002.34	$1,552.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $936.61 / $1,244.96 / $1,244.96	Professional		$936.61	$1,244.96	$1,244.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,054.00 / $5,342.00 / $9,617.00	Facility		$1,054.00	$5,342.00	$9,617.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $667.41 / $768.29 / $2,843.00	Professional		$667.41	$768.29	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $908.90 / $2,025.90	Professional		$4.00	$908.90	$2,025.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $755.20 / $1,009.41 / $1,606.68	Professional		$755.20	$1,009.41	$1,606.68
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $701.05 / $781.52 / $781.52	Facility		$701.05	$781.52	$781.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $701.05 / $781.52 / $823.08	Professional		$701.05	$781.52	$823.08
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 $716.43 / $978.18 / $1,572.95	Professional		$716.43	$978.18	$1,572.95