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 $274.36 / $313.80 / $543.26	Professional		$274.36	$313.80	$543.26
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 $297.70 / $451.46 / $577.00	Professional		$297.70	$451.46	$577.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $322.31 / $417.51 / $656.94	Professional		$322.31	$417.51	$656.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $403.11 / $535.83 / $535.83	Professional		$403.11	$535.83	$535.83
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 $301.45 / $368.93 / $1,730.50	Professional		$301.45	$368.93	$1,730.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $358.30 / $879.20	Professional		$6.00	$358.30	$879.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $329.91 / $424.16 / $690.31	Professional		$329.91	$424.16	$690.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $328.60 / $333.71 / $333.71	Facility		$328.60	$333.71	$333.71
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $324.33 / $333.71 / $353.69	Professional		$324.33	$333.71	$353.69
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 $289.73 / $381.27 / $642.98	Professional		$289.73	$381.27	$642.98