Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $593.87 / $5,526.00 / $13,947.00	Facility		$593.87	$5,526.00	$13,947.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.78 / $569.21 / $690.69	Professional		$503.78	$569.21	$690.69
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 $490.21 / $508.71 / $508.71	Professional		$490.21	$508.71	$508.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $504.64 / $650.66 / $1,023.28	Professional		$504.64	$650.66	$1,023.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $741.76 / $741.76 / $782.58	Professional		$741.76	$741.76	$782.58
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 $503.78 / $611.53 / $2,612.36	Professional		$503.78	$611.53	$2,612.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $899.60 / $1,216.80	Professional		$15.00	$899.60	$1,216.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $522.98 / $679.18 / $1,102.70	Professional		$522.98	$679.18	$1,102.70
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $482.68 / $482.68 / $729.53	Facility		$482.68	$482.68	$729.53
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $460.66 / $492.33 / $729.53	Professional		$460.66	$492.33	$729.53
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 $487.01 / $667.58 / $1,054.33	Professional		$487.01	$667.58	$1,054.33