Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $486.00 / $1,642.68 / $2,509.36	Facility		$486.00	$1,642.68	$2,509.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.24 / $486.00 / $2,478.00	Professional		$394.24	$486.00	$2,478.00
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 $468.00 / $468.00 / $468.00	Professional		$468.00	$468.00	$468.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $569.40 / $886.16 / $1,990.66	Facility		$569.40	$886.16	$1,990.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.37 / $640.95 / $1,356.74	Professional		$276.37	$640.95	$1,356.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $357.00 / $810.00 / $1,140.00	Professional		$357.00	$810.00	$1,140.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $240.04 / $240.04 / $1,154.40	Facility		$240.04	$240.04	$1,154.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $1,642.68 / $2,478.00	Facility		$510.00	$1,642.68	$2,478.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $432.00 / $510.00 / $2,478.00	Professional		$432.00	$510.00	$2,478.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $888.00 / $900.00 / $1,200.00	Professional		$888.00	$900.00	$1,200.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $584.04 / $998.21 / $1,990.66	Facility		$584.04	$998.21	$1,990.66
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $281.18 / $642.15 / $1,356.74	Professional		$281.18	$642.15	$1,356.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $665.76	Facility		$600.00	$600.00	$665.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $665.76	Professional		$600.00	$600.00	$665.76
United Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $360.00 / $840.00	Professional		$252.00	$360.00	$840.00