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 $222.55 / $272.26 / $320.60	Professional		$222.55	$272.26	$320.60
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 $201.86 / $367.29 / $478.59	Professional		$201.86	$367.29	$478.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.68 / $328.66 / $475.36	Professional		$226.68	$328.66	$475.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $347.13 / $347.13 / $365.66	Professional		$347.13	$347.13	$365.66
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 $222.55 / $276.61 / $1,188.97	Professional		$222.55	$276.61	$1,188.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $8.00 / $567.90	Professional		$8.00	$8.00	$567.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $333.41 / $531.72	Professional		$255.00	$333.41	$531.72
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $224.23 / $224.23 / $282.72	Facility		$224.23	$224.23	$282.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $214.17 / $228.60 / $282.72	Professional		$214.17	$228.60	$282.72
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 $227.99 / $324.82 / $501.93	Professional		$227.99	$324.82	$501.93