Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $5,526.00 / $13,947.00	Facility		$540.00	$5,526.00	$13,947.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.58 / $214.37 / $253.09	Professional		$191.58	$214.37	$253.09
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 $159.10 / $289.98 / $376.68	Professional		$159.10	$289.98	$376.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.66 / $258.69 / $375.30	Professional		$178.66	$258.69	$375.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $273.73 / $273.73 / $288.27	Professional		$273.73	$273.73	$288.27
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $5,526.00 / $13,969.00	Facility		$832.00	$5,526.00	$13,969.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $191.58 / $224.86 / $1,004.72	Professional		$191.58	$224.86	$1,004.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $8.00 / $448.60	Professional		$8.00	$8.00	$448.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $201.82 / $262.43 / $417.29	Professional		$201.82	$262.43	$417.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $177.03 / $177.03 / $222.52	Facility		$177.03	$177.03	$222.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $169.10 / $180.47 / $222.52	Professional		$169.10	$180.47	$222.52
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 $179.96 / $246.86 / $402.36	Professional		$179.96	$246.86	$402.36