Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $552.80 / $5,526.00 / $13,947.00	Facility		$552.80	$5,526.00	$13,947.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $485.56 / $543.37 / $641.60	Professional		$485.56	$543.37	$641.60
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 $402.16 / $734.76 / $956.28	Professional		$402.16	$734.76	$956.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.21 / $682.94 / $950.98	Professional		$461.21	$682.94	$950.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $690.66 / $690.66 / $727.80	Professional		$690.66	$690.66	$727.80
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 $485.56 / $568.84 / $2,375.51	Professional		$485.56	$568.84	$2,375.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $1,133.50	Professional		$15.00	$15.00	$1,133.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $511.03 / $682.94 / $1,080.10	Professional		$511.03	$682.94	$1,080.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $448.57 / $448.57 / $564.91	Facility		$448.57	$448.57	$564.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $428.30 / $457.48 / $564.91	Professional		$428.30	$457.48	$564.91
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 $472.70 / $623.66 / $949.71	Professional		$472.70	$623.66	$949.71