Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $6,012.00 / $10,527.00	Facility		$657.00	$6,012.00	$10,527.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.81 / $316.79 / $404.32	Professional		$266.81	$316.79	$404.32
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,480.74	Facility		$13,531.00	$27,840.00	$46,480.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $250.43 / $402.26 / $481.41	Professional		$250.43	$402.26	$481.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.52 / $380.81 / $588.84	Professional		$281.52	$380.81	$588.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $432.23 / $432.23 / $454.25	Professional		$432.23	$432.23	$454.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $7,175.00 / $12,181.00	Facility		$1,020.00	$7,175.00	$12,181.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $298.64 / $354.54 / $5,958.00	Professional		$298.64	$354.54	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $6.00 / $709.50	Professional		$6.00	$6.00	$709.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $300.89 / $381.26 / $588.84	Professional		$300.89	$381.26	$588.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $278.31 / $278.31 / $315.27	Facility		$278.31	$278.31	$315.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $266.12 / $283.44 / $315.27	Professional		$266.12	$283.44	$315.27
United Facility/Professional Facility Modifier Low / Median / High Price $656.00 / $2,391.00 / $6,322.00	Facility		$656.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $269.63 / $358.26 / $549.65	Professional		$269.63	$358.26	$549.65