Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Facility		$600.00	$600.00	$600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $618.00	Professional		$600.00	$600.00	$618.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $123.83 / $128.50 / $128.50	Professional		$123.83	$128.50	$128.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.00 / $1,150.00 / $1,150.00	Facility		$660.00	$1,150.00	$1,150.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.50 / $977.50 / $977.50	Professional		$839.50	$977.50	$977.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Facility		$600.00	$600.00	$600.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $618.00	Professional		$600.00	$600.00	$618.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $16.80 / $16.80	Professional		$16.80	$16.80	$16.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $660.00 / $1,150.00 / $1,150.00	Facility		$660.00	$1,150.00	$1,150.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $839.50 / $977.50 / $1,150.00	Professional		$839.50	$977.50	$1,150.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $925.00 / $925.00 / $925.00	Facility		$925.00	$925.00	$925.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $925.00 / $925.00 / $925.00	Professional		$925.00	$925.00	$925.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.02 / $466.20 / $1,500.00	Professional		$109.02	$466.20	$1,500.00