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 $476.02 / $541.39 / $729.15	Professional		$476.02	$541.39	$729.15
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $28,970.26	Facility		$8,639.91	$11,851.00	$28,970.26
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $586.54 / $608.66 / $1,318.06	Professional		$586.54	$608.66	$1,318.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.34 / $748.11 / $1,186.50	Professional		$553.34	$748.11	$1,186.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $695.76 / $924.85 / $924.85	Professional		$695.76	$924.85	$924.85
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 $495.63 / $586.05 / $2,843.00	Professional		$495.63	$586.05	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $708.20 / $1,501.50	Professional		$3.00	$708.20	$1,501.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $559.55 / $749.63 / $1,189.76	Professional		$559.55	$749.63	$1,189.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $579.45 / $579.45 / $666.42	Facility		$579.45	$579.45	$666.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $561.17 / $582.86 / $666.42	Professional		$561.17	$582.86	$666.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $3,914.00 / $7,000.00	Facility		$2,332.00	$3,914.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $533.14 / $742.28 / $1,238.50	Professional		$533.14	$742.28	$1,238.50