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 $446.19 / $511.34 / $679.26	Professional		$446.19	$511.34	$679.26
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 $555.57 / $576.53 / $576.53	Professional		$555.57	$576.53	$576.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.12 / $706.39 / $1,061.40	Professional		$524.12	$706.39	$1,061.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $651.77 / $862.54 / $870.23	Professional		$651.77	$862.54	$870.23
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 $462.34 / $556.22 / $2,874.56	Professional		$462.34	$556.22	$2,874.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $644.10 / $1,410.20	Professional		$4.00	$644.10	$1,410.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $527.66 / $707.56 / $1,109.77	Professional		$527.66	$707.56	$1,109.77
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $542.20 / $542.20 / $558.55	Facility		$542.20	$542.20	$558.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $527.36 / $543.16 / $570.62	Professional		$527.36	$543.16	$570.62
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 $481.00 / $653.99 / $1,088.54	Professional		$481.00	$653.99	$1,088.54