Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $491.95 / $3,839.00 / $8,247.00	Facility		$491.95	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.63 / $480.15 / $574.44	Professional		$384.63	$480.15	$574.44
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 $359.30 / $541.48 / $782.24	Professional		$359.30	$541.48	$782.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.41 / $545.97 / $825.58	Professional		$408.41	$545.97	$825.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $616.69 / $616.69 / $654.40	Professional		$616.69	$616.69	$654.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $4,761.00 / $8,247.00	Facility		$657.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $384.63 / $508.97 / $2,112.86	Professional		$384.63	$508.97	$2,112.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $772.50 / $936.70 / $1,008.20	Professional		$772.50	$936.70	$1,008.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $420.09 / $546.94 / $948.37	Professional		$420.09	$546.94	$948.37
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $400.86 / $400.86 / $442.50	Facility		$400.86	$400.86	$442.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $382.02 / $408.88 / $442.50	Professional		$382.02	$408.88	$442.50
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 $392.36 / $531.13 / $842.43	Professional		$392.36	$531.13	$842.43