Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $854.01 / $854.01 / $3,305.02	Facility		$854.01	$854.01	$3,305.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $854.01 / $999.37 / $1,580.10	Professional		$854.01	$999.37	$1,580.10
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 $1,580.10 / $2,075.11 / $2,075.11	Professional		$1,580.10	$2,075.11	$2,075.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,277.46 / $1,277.46 / $2,477.81	Facility		$1,277.46	$1,277.46	$2,477.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $932.55 / $932.55 / $2,197.13	Professional		$932.55	$932.55	$2,197.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,308.44 / $2,509.19 / $4,767.46	Professional		$2,308.44	$2,509.19	$4,767.46
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $835.31 / $835.31 / $835.31	Facility		$835.31	$835.31	$835.31
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.18 / $1,621.18 / $1,621.18	Professional		$1,621.18	$1,621.18	$1,621.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $854.01 / $854.01 / $3,305.02	Facility		$854.01	$854.01	$3,305.02
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $854.01 / $1,067.30 / $1,960.30	Professional		$854.01	$1,067.30	$1,960.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,552.10 / $1,699.50 / $4,943.50	Professional		$1,552.10	$1,699.50	$4,943.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,277.46 / $1,277.46 / $2,477.81	Facility		$1,277.46	$1,277.46	$2,477.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $932.55 / $932.55 / $2,407.50	Professional		$932.55	$932.55	$2,407.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,483.62 / $1,975.12 / $1,975.12	Facility		$1,483.62	$1,975.12	$1,975.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,483.62 / $1,975.12 / $2,388.28	Professional		$1,483.62	$1,975.12	$2,388.28
United Facility/Professional Professional Modifier Low / Median / High Price $786.90 / $1,042.31 / $1,813.07	Professional		$786.90	$1,042.31	$1,813.07