Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $525.90 / $3,839.00 / $8,247.00	Facility		$525.90	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $462.30 / $504.11 / $617.30	Professional		$462.30	$504.11	$617.30
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 $385.03 / $579.96 / $842.04	Professional		$385.03	$579.96	$842.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.68 / $588.38 / $886.41	Professional		$443.68	$588.38	$886.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $653.33 / $653.33 / $700.07	Professional		$653.33	$653.33	$700.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $4,761.00 / $8,247.00	Facility		$657.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $462.30 / $538.74 / $2,238.31	Professional		$462.30	$538.74	$2,238.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $497.70 / $560.50 / $1,065.30	Professional		$497.70	$560.50	$1,065.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $457.98 / $588.38 / $995.37	Professional		$457.98	$588.38	$995.37
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $429.00 / $429.00 / $444.97	Facility		$429.00	$429.00	$444.97
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $407.20 / $437.58 / $445.99	Professional		$407.20	$437.58	$445.99
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 $432.39 / $576.40 / $910.42	Professional		$432.39	$576.40	$910.42