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 $596.89 / $655.20 / $848.93	Professional		$596.89	$655.20	$848.93
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 $579.13 / $945.33 / $1,273.50	Professional		$579.13	$945.33	$1,273.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $641.11 / $865.62 / $1,354.99	Professional		$641.11	$865.62	$1,354.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $783.79 / $1,039.94 / $1,048.92	Professional		$783.79	$1,039.94	$1,048.92
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 $596.89 / $700.00 / $3,529.92	Professional		$596.89	$700.00	$3,529.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $689.20 / $1,740.80	Professional		$5.00	$689.20	$1,740.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $654.86 / $876.24 / $1,480.48	Professional		$654.86	$876.24	$1,480.48
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $654.04 / $654.04 / $704.23	Facility		$654.04	$654.04	$704.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $638.27 / $654.04 / $704.23	Professional		$638.27	$654.04	$704.23
United Facility/Professional Facility Modifier Low / Median / High Price $889.00 / $2,391.00 / $4,789.00	Facility		$889.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $582.03 / $827.01 / $1,314.67	Professional		$582.03	$827.01	$1,314.67