Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.00 / $1,094.04 / $7,588.70	Facility		$499.00	$1,094.04	$7,588.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $926.13 / $1,054.71 / $1,433.74	Professional		$926.13	$1,054.71	$1,433.74
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 $988.87 / $1,446.89 / $2,031.03	Professional		$988.87	$1,446.89	$2,031.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.79 / $1,161.33 / $2,175.69	Facility		$1,040.79	$1,161.33	$2,175.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $968.06 / $1,334.29 / $2,283.44	Professional		$968.06	$1,334.29	$2,283.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,075.65 / $1,568.25 / $2,062.15	Professional		$1,075.65	$1,568.25	$2,062.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,189.35 / $3,832.13 / $9,573.07	Facility		$3,189.35	$3,832.13	$9,573.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $499.00 / $1,791.00 / $7,588.70	Facility		$499.00	$1,791.00	$7,588.70
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $926.13 / $1,148.93 / $1,889.90	Professional		$926.13	$1,148.93	$1,889.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $991.76 / $1,945.24	Professional		$131.16	$991.76	$1,945.24
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,040.79 / $1,161.33 / $1,813.08	Facility		$1,040.79	$1,161.33	$1,813.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $968.06 / $1,352.63 / $2,323.35	Professional		$968.06	$1,352.63	$2,323.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $957.24 / $957.44 / $957.44	Facility		$957.24	$957.44	$957.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $940.22 / $957.44 / $1,045.59	Professional		$940.22	$957.44	$1,045.59
United Facility/Professional Professional Modifier Low / Median / High Price $876.95 / $1,172.44 / $1,872.24	Professional		$876.95	$1,172.44	$1,872.24