Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.91 / $575.23 / $4,247.74	Facility		$519.91	$575.23	$4,247.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.39 / $758.76 / $1,400.00	Professional		$494.39	$758.76	$1,400.00
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 $961.97 / $1,263.33 / $1,263.33	Professional		$961.97	$1,263.33	$1,263.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.54 / $906.54 / $1,263.33	Facility		$906.54	$906.54	$1,263.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $661.77 / $661.77 / $1,106.22	Professional		$661.77	$661.77	$1,106.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,162.26 / $1,263.33 / $2,400.33	Professional		$1,162.26	$1,263.33	$2,400.33
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,782.64 / $5,782.64 / $5,782.64	Facility		$5,782.64	$5,782.64	$5,782.64
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $853.07 / $853.07 / $853.07	Professional		$853.07	$853.07	$853.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $519.91 / $3,754.88 / $4,247.74	Facility		$519.91	$3,754.88	$4,247.74
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $517.05 / $758.76 / $1,400.00	Professional		$517.05	$758.76	$1,400.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $960.00 / $1,801.30 / $2,489.00	Professional		$960.00	$1,801.30	$2,489.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $906.54 / $906.54 / $1,263.33	Facility		$906.54	$906.54	$1,263.33
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $661.77 / $661.77 / $1,809.75	Professional		$661.77	$661.77	$1,809.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $809.78 / $1,202.46 / $1,202.46	Facility		$809.78	$1,202.46	$1,202.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $809.78 / $1,202.46 / $1,485.70	Professional		$809.78	$1,202.46	$1,485.70
United Facility/Professional Professional Modifier Low / Median / High Price $528.25 / $632.92 / $1,103.80	Professional		$528.25	$632.92	$1,103.80