Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $766.85 / $766.85 / $2,967.71	Facility		$766.85	$766.85	$2,967.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $762.63 / $855.41 / $1,248.25	Professional		$762.63	$855.41	$1,248.25
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 $1,418.84 / $1,863.33 / $1,863.33	Professional		$1,418.84	$1,863.33	$1,863.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,108.41 / $1,108.41 / $2,158.52	Facility		$1,108.41	$1,108.41	$2,158.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $809.14 / $809.14 / $1,890.07	Professional		$809.14	$809.14	$1,890.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,985.84 / $2,158.52 / $4,101.18	Professional		$1,985.84	$2,158.52	$4,101.18
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.22 / $1,258.22 / $1,258.22	Professional		$1,258.22	$1,258.22	$1,258.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $766.85 / $766.85 / $2,967.71	Facility		$766.85	$766.85	$2,967.71
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $762.63 / $897.37 / $1,610.30	Professional		$762.63	$897.37	$1,610.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,676.30 / $3,077.70 / $4,252.70	Professional		$2,676.30	$3,077.70	$4,252.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,108.41 / $1,108.41 / $2,158.52	Facility		$1,108.41	$1,108.41	$2,158.52
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $809.14 / $809.14 / $2,356.50	Professional		$809.14	$809.14	$2,356.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,332.21 / $1,773.55 / $1,773.55	Facility		$1,332.21	$1,773.55	$1,773.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,332.21 / $1,773.55 / $2,054.51	Professional		$1,332.21	$1,773.55	$2,054.51
United Facility/Professional Professional Modifier Low / Median / High Price $730.50 / $957.58 / $1,680.37	Professional		$730.50	$957.58	$1,680.37