Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $477.44 / $3,839.00 / $8,247.00	Facility		$477.44	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.90 / $441.00 / $635.45	Professional		$388.90	$441.00	$635.45
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 $466.18 / $483.77 / $483.77	Professional		$466.18	$483.77	$483.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.79 / $627.94 / $961.21	Professional		$439.79	$627.94	$961.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $583.16 / $791.37 / $791.37	Professional		$583.16	$791.37	$791.37
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 $390.00 / $478.09 / $2,322.02	Professional		$390.00	$478.09	$2,322.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $546.10 / $644.40 / $1,149.50	Professional		$546.10	$644.40	$1,149.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $445.29 / $609.58 / $961.21	Professional		$445.29	$609.58	$961.21
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $456.08 / $456.08 / $527.11	Facility		$456.08	$456.08	$527.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $430.93 / $469.50 / $527.11	Professional		$430.93	$469.50	$527.11
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,391.00 / $6,322.00	Facility		$625.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $477.67 / $637.70 / $943.09	Professional		$477.67	$637.70	$943.09