Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.84 / $496.84 / $1,922.77	Facility		$496.84	$496.84	$1,922.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $472.44 / $581.41 / $761.11	Professional		$472.44	$581.41	$761.11
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 $919.26 / $1,207.24 / $1,207.24	Professional		$919.26	$1,207.24	$1,207.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $756.07 / $756.07 / $1,207.24	Facility		$756.07	$756.07	$1,207.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.92 / $551.92 / $1,057.09	Professional		$551.92	$551.92	$1,057.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,110.66 / $1,207.24 / $2,293.76	Professional		$1,110.66	$1,207.24	$2,293.76
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,441.53 / $2,441.53 / $2,441.53	Facility		$2,441.53	$2,441.53	$2,441.53
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $496.84 / $496.84 / $1,922.77	Facility		$496.84	$496.84	$1,922.77
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $472.44 / $581.41 / $929.31	Professional		$472.44	$581.41	$929.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $403.30 / $530.00 / $2,378.50	Professional		$403.30	$530.00	$2,378.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $756.07 / $756.07 / $1,207.24	Facility		$756.07	$756.07	$1,207.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $551.92 / $551.92 / $1,434.00	Professional		$551.92	$551.92	$1,434.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $775.40 / $1,149.07 / $1,149.07	Facility		$775.40	$1,149.07	$1,149.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $775.40 / $1,149.07 / $1,177.26	Professional		$775.40	$1,149.07	$1,177.26
United Facility/Professional Professional Modifier Low / Median / High Price $456.82 / $602.27 / $1,054.78	Professional		$456.82	$602.27	$1,054.78