Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $481.35 / $481.35 / $1,862.82	Facility		$481.35	$481.35	$1,862.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.71 / $553.04 / $737.39	Professional		$457.71	$553.04	$737.39
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 $890.60 / $1,169.59 / $1,169.59	Professional		$890.60	$1,169.59	$1,169.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.69 / $736.69 / $1,169.59	Facility		$736.69	$736.69	$1,169.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.78 / $537.78 / $1,389.38	Professional		$537.78	$537.78	$1,389.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,076.03 / $1,169.59 / $2,222.23	Professional		$1,076.03	$1,169.59	$2,222.23
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $211.23 / $211.23 / $211.23	Facility		$211.23	$211.23	$211.23
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $935.68 / $935.68 / $935.68	Professional		$935.68	$935.68	$935.68
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $481.35 / $481.35 / $1,862.82	Facility		$481.35	$481.35	$1,862.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $457.70 / $563.27 / $900.12	Professional		$457.70	$563.27	$900.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,450.20 / $1,667.70 / $2,304.30	Professional		$1,450.20	$1,667.70	$2,304.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $736.69 / $736.69 / $1,169.59	Facility		$736.69	$736.69	$1,169.59
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $537.78 / $537.78 / $1,389.38	Professional		$537.78	$537.78	$1,389.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $836.23 / $1,113.25 / $1,113.25	Facility		$836.23	$1,113.25	$1,113.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $836.23 / $1,113.25 / $1,140.58	Professional		$836.23	$1,113.25	$1,140.58
United Facility/Professional Professional Modifier Low / Median / High Price $445.05 / $583.50 / $972.50	Professional		$445.05	$583.50	$972.50