Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $583.74 / $685.40 / $1,359.00	Facility		$583.74	$685.40	$1,359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $445.75 / $596.03 / $810.10	Professional		$445.75	$596.03	$810.10
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 $605.96 / $712.89 / $1,057.53	Professional		$605.96	$712.89	$1,057.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $486.97 / $791.58 / $1,154.06	Facility		$486.97	$791.58	$1,154.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.43 / $664.63 / $1,234.65	Professional		$361.43	$664.63	$1,234.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $732.11 / $1,070.36 / $1,428.73	Professional		$732.11	$1,070.36	$1,428.73
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $788.47 / $788.47 / $4,563.67	Facility		$788.47	$788.47	$4,563.67
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $685.40 / $685.40 / $1,812.00	Facility		$685.40	$685.40	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $469.04 / $628.17 / $1,268.06	Professional		$469.04	$628.17	$1,268.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $261.81 / $608.69 / $1,149.13	Professional		$261.81	$608.69	$1,149.13
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $308.45 / $791.58 / $978.75	Facility		$308.45	$791.58	$978.75
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $376.65 / $702.42 / $1,321.40	Professional		$376.65	$702.42	$1,321.40
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $350.28 / $642.35 / $642.35	Facility		$350.28	$642.35	$642.35
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $632.75 / $642.35 / $694.39	Professional		$632.75	$642.35	$694.39
United Facility/Professional Professional Modifier Low / Median / High Price $344.55 / $624.36 / $1,120.65	Professional		$344.55	$624.36	$1,120.65