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 $184.64 / $206.75 / $511.01	Professional		$184.64	$206.75	$511.01
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 / $364.94	Professional		$159.10	$289.98	$364.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.66 / $255.00 / $375.30	Professional		$178.66	$255.00	$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 $188.66 / $221.20 / $700.00	Professional		$188.66	$221.20	$700.00
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 $200.45 / $258.72 / $411.84	Professional		$200.45	$258.72	$411.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $177.03 / $177.03 / $215.58	Facility		$177.03	$177.03	$215.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $169.10 / $180.47 / $215.58	Professional		$169.10	$180.47	$215.58
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 $186.74 / $252.69 / $380.06	Professional		$186.74	$252.69	$380.06