Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.62 / $2,520.00 / $2,973.60	Facility		$950.62	$2,520.00	$2,973.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.60 / $472.54 / $612.00	Professional		$381.60	$472.54	$612.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $561.60 / $561.60 / $561.60	Professional		$561.60	$561.60	$561.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $683.28 / $1,063.69 / $2,389.44	Facility		$683.28	$1,063.69	$2,389.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,470.40 / $3,470.40 / $3,470.40	Professional		$3,470.40	$3,470.40	$3,470.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $756.00 / $972.00 / $1,778.40	Professional		$756.00	$972.00	$1,778.40
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,683.36 / $1,683.36 / $1,683.36	Facility		$1,683.36	$1,683.36	$1,683.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,108.08 / $2,973.60 / $2,973.60	Facility		$1,108.08	$2,973.60	$2,973.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $472.54 / $828.00 / $2,973.60	Professional		$472.54	$828.00	$2,973.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,065.59 / $1,080.00 / $1,440.00	Professional		$1,065.59	$1,080.00	$1,440.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $700.84 / $1,114.55 / $2,389.44	Facility		$700.84	$1,114.55	$2,389.44
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,470.40 / $3,470.40 / $3,470.40	Professional		$3,470.40	$3,470.40	$3,470.40
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $720.00 / $792.00	Facility		$720.00	$720.00	$792.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $720.00 / $792.00	Professional		$720.00	$720.00	$792.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $432.00 / $1,303.49	Professional		$302.39	$432.00	$1,303.49