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 $395.05 / $469.74 / $525.32	Professional		$395.05	$469.74	$525.32
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 $369.97 / $435.26 / $678.43	Professional		$369.97	$435.26	$678.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.60 / $579.04 / $874.22	Professional		$416.60	$579.04	$874.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $638.57 / $638.57 / $669.70	Professional		$638.57	$638.57	$669.70
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 $395.05 / $515.17 / $6,832.00	Professional		$395.05	$515.17	$6,832.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,050.00 / $1,050.00 / $1,050.00	Professional		$1,050.00	$1,050.00	$1,050.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $455.04 / $579.04 / $906.66	Professional		$455.04	$579.04	$906.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $412.37 / $412.37 / $460.28	Facility		$412.37	$412.37	$460.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $394.32 / $419.95 / $460.28	Professional		$394.32	$419.95	$460.28
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 $415.47 / $548.89 / $866.96	Professional		$415.47	$548.89	$866.96