Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $606.87 / $5,526.00 / $13,947.00	Facility		$606.87	$5,526.00	$13,947.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.22 / $594.15 / $705.86	Professional		$531.22	$594.15	$705.86
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 $441.41 / $808.17 / $1,045.77	Professional		$441.41	$808.17	$1,045.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.40 / $727.35 / $1,045.99	Professional		$506.40	$727.35	$1,045.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $758.03 / $758.03 / $798.36	Professional		$758.03	$758.03	$798.36
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 $531.22 / $612.74 / $2,609.02	Professional		$531.22	$612.74	$2,609.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $1,244.50	Professional		$15.00	$15.00	$1,244.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $561.09 / $747.35 / $1,162.26	Professional		$561.09	$747.35	$1,162.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $493.39 / $493.39 / $617.78	Facility		$493.39	$493.39	$617.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $470.99 / $503.26 / $617.78	Professional		$470.99	$503.26	$617.78
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 $518.96 / $718.60 / $1,118.18	Professional		$518.96	$718.60	$1,118.18