Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.00 / $3,745.00 / $8,017.00	Facility		$768.00	$3,745.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.16 / $398.38 / $533.74	Professional		$349.16	$398.38	$533.74
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 $378.68 / $445.51 / $665.49	Professional		$378.68	$445.51	$665.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.01 / $531.03 / $856.78	Professional		$405.01	$531.03	$856.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $510.94 / $678.98 / $678.98	Professional		$510.94	$678.98	$678.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,839.00 / $8,017.00	Facility		$954.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $366.68 / $429.86 / $1,749.00	Professional		$366.68	$429.86	$1,749.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $488.90 / $1,111.80	Professional		$3.00	$488.90	$1,111.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $411.18 / $541.89 / $876.18	Professional		$411.18	$541.89	$876.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $425.07 / $425.07 / $454.37	Facility		$425.07	$425.07	$454.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $412.49 / $426.72 / $454.37	Professional		$412.49	$426.72	$454.37
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 $363.34 / $491.58 / $827.23	Professional		$363.34	$491.58	$827.23