Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $991.71 / $991.71 / $2,521.39	Facility		$991.71	$991.71	$2,521.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $816.19 / $884.49 / $1,098.08	Professional		$816.19	$884.49	$1,098.08
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 $1,141.49 / $1,184.57 / $1,184.57	Professional		$1,141.49	$1,184.57	$1,184.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $569.44 / $1,076.33 / $1,206.55	Facility		$569.44	$1,076.33	$1,206.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $710.95 / $1,153.95 / $2,190.32	Professional		$710.95	$1,153.95	$2,190.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $933.67 / $1,376.82 / $1,755.01	Professional		$933.67	$1,376.82	$1,755.01
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,964.00 / $1,964.00 / $1,964.00	Facility		$1,964.00	$1,964.00	$1,964.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $991.71 / $1,812.00 / $2,521.39	Facility		$991.71	$1,812.00	$2,521.39
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $816.19 / $886.63 / $1,098.08	Professional		$816.19	$886.63	$1,098.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $353.04 / $531.51 / $1,120.50	Professional		$353.04	$531.51	$1,120.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $510.45 / $1,076.33 / $1,076.33	Facility		$510.45	$1,076.33	$1,076.33
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $710.95 / $1,153.95 / $2,898.77	Professional		$710.95	$1,153.95	$2,898.77
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,076.88 / $1,076.88 / $1,142.90	Facility		$1,076.88	$1,076.88	$1,142.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $589.60 / $1,076.88 / $1,098.42	Professional		$589.60	$1,076.88	$1,098.42
United Facility/Professional Professional Modifier Low / Median / High Price $806.92 / $1,131.91 / $1,872.64	Professional		$806.92	$1,131.91	$1,872.64