Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.77 / $399.77 / $1,547.11	Facility		$399.77	$399.77	$1,547.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.77 / $467.82 / $791.01	Professional		$399.77	$467.82	$791.01
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 $699.71 / $788.33 / $788.33	Professional		$699.71	$788.33	$788.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $788.33 / $854.15 / $854.15	Facility		$788.33	$854.15	$854.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $623.53 / $623.53 / $1,021.13	Professional		$623.53	$623.53	$1,021.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $725.26 / $788.33 / $1,497.83	Professional		$725.26	$788.33	$1,497.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $748.91 / $748.91 / $800.99	Professional		$748.91	$748.91	$800.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $399.77 / $399.77 / $1,547.11	Facility		$399.77	$399.77	$1,547.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $399.76 / $467.82 / $791.01	Professional		$399.76	$467.82	$791.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,573.60 / $1,913.80 / $1,913.80	Professional		$1,573.60	$1,913.80	$1,913.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $788.33 / $854.15 / $854.15	Facility		$788.33	$854.15	$854.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $623.53 / $623.53 / $1,021.13	Professional		$623.53	$623.53	$1,021.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $874.64 / $874.64 / $919.57	Facility		$874.64	$874.64	$919.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $874.64 / $874.64 / $926.80	Professional		$874.64	$874.64	$926.80
United Facility/Professional Professional Modifier Low / Median / High Price $494.39 / $642.71 / $1,054.70	Professional		$494.39	$642.71	$1,054.70