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 $200.94 / $227.49 / $285.66	Professional		$200.94	$227.49	$285.66
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 $178.76 / $326.98 / $399.96	Professional		$178.76	$326.98	$399.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.39 / $285.70 / $423.20	Professional		$205.39	$285.70	$423.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $306.68 / $306.68 / $322.94	Professional		$306.68	$306.68	$322.94
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 $200.94 / $252.84 / $1,126.23	Professional		$200.94	$252.84	$1,126.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $229.80 / $234.20 / $505.50	Professional		$229.80	$234.20	$505.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $219.87 / $285.70 / $451.79	Professional		$219.87	$285.70	$451.79
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $199.62 / $199.62 / $236.28	Facility		$199.62	$199.62	$236.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $190.51 / $203.61 / $236.28	Professional		$190.51	$203.61	$236.28
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 $207.83 / $274.70 / $428.68	Professional		$207.83	$274.70	$428.68