Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,701.56 / $1,701.56 / $1,786.64	Facility		$1,701.56	$1,701.56	$1,786.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $481.00 / $573.46 / $712.34	Professional		$481.00	$573.46	$712.34
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $793.00 / $921.00 / $1,217.00	Professional		$793.00	$921.00	$1,217.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $575.00 / $1,805.46	Facility		$150.00	$575.00	$1,805.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $500.00 / $700.00	Professional		$150.00	$500.00	$700.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,701.56 / $1,701.56 / $1,701.56	Facility		$1,701.56	$1,701.56	$1,701.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $573.46 / $1,100.00	Professional		$200.00	$573.46	$1,100.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,175.49 / $1,175.49 / $1,175.49	Facility		$1,175.49	$1,175.49	$1,175.49
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $575.00 / $1,805.46	Facility		$125.00	$575.00	$1,805.46
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $500.00 / $700.00	Professional		$150.00	$500.00	$700.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $385.22 / $385.22 / $709.91	Professional		$385.22	$385.22	$709.91
United Facility/Professional Professional Modifier Low / Median / High Price $527.62 / $662.41 / $1,400.00	Professional		$527.62	$662.41	$1,400.00