Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.20 / $660.20 / $2,554.96	Facility		$660.20	$660.20	$2,554.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $659.37 / $758.53 / $1,116.32	Professional		$659.37	$758.53	$1,116.32
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 $1,221.51 / $1,604.19 / $1,604.19	Professional		$1,221.51	$1,604.19	$1,604.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,025.33 / $1,025.33 / $1,936.87	Facility		$1,025.33	$1,025.33	$1,936.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.49 / $748.49 / $1,695.99	Professional		$748.49	$748.49	$1,695.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,781.92 / $1,936.87 / $3,680.05	Professional		$1,781.92	$1,936.87	$3,680.05
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,203.14 / $1,203.14 / $1,203.14	Professional		$1,203.14	$1,203.14	$1,203.14
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $660.20 / $660.20 / $2,554.96	Facility		$660.20	$660.20	$2,554.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $659.37 / $758.53 / $1,324.93	Professional		$659.37	$758.53	$1,324.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,401.50 / $2,761.70 / $3,816.00	Professional		$2,401.50	$2,761.70	$3,816.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,025.33 / $1,025.33 / $1,936.87	Facility		$1,025.33	$1,025.33	$1,936.87
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $748.49 / $748.49 / $2,109.75	Professional		$748.49	$748.49	$2,109.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,146.93 / $1,526.89 / $1,526.89	Facility		$1,146.93	$1,526.89	$1,526.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,146.93 / $1,526.89 / $1,843.54	Professional		$1,146.93	$1,526.89	$1,843.54
United Facility/Professional Professional Modifier Low / Median / High Price $678.29 / $809.10 / $1,446.67	Professional		$678.29	$809.10	$1,446.67