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 $226.85 / $256.07 / $320.60	Professional		$226.85	$256.07	$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 / $450.75	Professional		$201.86	$367.29	$450.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.68 / $314.95 / $475.36	Professional		$226.68	$314.95	$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 $226.85 / $284.58 / $1,270.00	Professional		$226.85	$284.58	$1,270.00
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 $248.27 / $321.76 / $508.18	Professional		$248.27	$321.76	$508.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $224.23 / $224.23 / $266.27	Facility		$224.23	$224.23	$266.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $214.17 / $228.60 / $266.27	Professional		$214.17	$228.60	$266.27
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 / $313.04 / $475.05	Professional		$227.99	$313.04	$475.05