Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $583.04 / $5,526.00 / $13,947.00	Facility		$583.04	$5,526.00	$13,947.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.44 / $555.11 / $677.50	Professional		$495.44	$555.11	$677.50
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 $424.01 / $775.80 / $980.80	Professional		$424.01	$775.80	$980.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.70 / $700.13 / $1,004.09	Professional		$486.70	$700.13	$1,004.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $728.16 / $728.16 / $766.85	Professional		$728.16	$728.16	$766.85
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 $495.44 / $600.65 / $2,506.92	Professional		$495.44	$600.65	$2,506.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $1,195.70	Professional		$15.00	$15.00	$1,195.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $538.55 / $700.13 / $1,112.57	Professional		$538.55	$700.13	$1,112.57
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $473.63 / $473.63 / $579.40	Facility		$473.63	$473.63	$579.40
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $452.18 / $483.08 / $579.40	Professional		$452.18	$483.08	$579.40
United Facility/Professional Facility Modifier Low / Median / High Price $656.00 / $2,391.00 / $6,228.00	Facility		$656.00	$2,391.00	$6,228.00
United Facility/Professional Professional Modifier Low / Median / High Price $480.68 / $647.99 / $1,002.20	Professional		$480.68	$647.99	$1,002.20