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 $670.81 / $779.43 / $1,029.51	Professional		$670.81	$779.43	$1,029.51
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $7,463.00 / $11,048.00	Facility		$2,800.00	$7,463.00	$11,048.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $826.65 / $857.85 / $857.85	Professional		$826.65	$857.85	$857.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $786.46 / $1,054.25 / $1,671.25	Professional		$786.46	$1,054.25	$1,671.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $977.36 / $1,299.22 / $1,299.22	Professional		$977.36	$1,299.22	$1,299.22
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 $693.70 / $846.30 / $2,843.00	Professional		$693.70	$846.30	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $989.40 / $2,099.50	Professional		$7.00	$989.40	$2,099.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $788.31 / $1,069.19 / $1,777.15	Professional		$788.31	$1,069.19	$1,777.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $816.63 / $816.63 / $865.85	Facility		$816.63	$816.63	$865.85
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $789.51 / $822.88 / $865.85	Professional		$789.51	$822.88	$865.85
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 $784.23 / $1,046.09 / $1,664.19	Professional		$784.23	$1,046.09	$1,664.19