Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.23 / $3,077.00 / $8,017.00	Facility		$345.23	$3,077.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.97 / $547.34 / $3,470.90	Professional		$215.97	$547.34	$3,470.90
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,850.00 / $16,455.00 / $36,032.05	Facility		$8,850.00	$16,455.00	$36,032.05
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,233.21 / $2,627.32 / $4,894.41	Professional		$2,233.21	$2,627.32	$4,894.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.47 / $2,507.89 / $5,363.58	Professional		$270.47	$2,507.89	$5,363.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,137.05 / $4,163.16 / $4,334.43	Professional		$3,137.05	$4,163.16	$4,334.43
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,415.74 / $13,420.23 / $27,495.50	Facility		$4,415.74	$13,420.23	$27,495.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $574.00 / $3,216.49 / $8,609.00	Facility		$574.00	$3,216.49	$8,609.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $217.02 / $759.63 / $4,575.00	Professional		$217.02	$759.63	$4,575.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $8,131.20	Professional		$5.00	$5.00	$8,131.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $272.83 / $2,577.98 / $5,754.95	Professional		$272.83	$2,577.98	$5,754.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $237.73 / $262.57 / $3,320.66	Facility		$237.73	$262.57	$3,320.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $237.73 / $2,672.41 / $2,989.18	Professional		$237.73	$2,672.41	$2,989.18
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $3,914.00 / $7,000.00	Facility		$2,332.00	$3,914.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,135.06 / $4,084.47 / $6,654.71	Professional		$3,135.06	$4,084.47	$6,654.71