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 $282.31 / $315.66 / $374.44	Professional		$282.31	$315.66	$374.44
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 $234.06 / $428.84 / $555.01	Professional		$234.06	$428.84	$555.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.35 / $382.45 / $555.04	Professional		$262.35	$382.45	$555.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $402.27 / $402.27 / $423.18	Professional		$402.27	$402.27	$423.18
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 $277.38 / $321.80 / $1,426.00	Professional		$277.38	$321.80	$1,426.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $660.50	Professional		$10.00	$10.00	$660.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $287.88 / $386.03 / $617.53	Professional		$287.88	$386.03	$617.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $261.81 / $261.81 / $327.87	Facility		$261.81	$261.81	$327.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $249.99 / $266.99 / $327.87	Professional		$249.99	$266.99	$327.87
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 $265.52 / $378.43 / $553.45	Professional		$265.52	$378.43	$553.45