Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $576.53 / $576.53 / $2,231.17	Facility		$576.53	$576.53	$2,231.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.41 / $662.39 / $844.86	Professional		$524.41	$662.39	$844.86
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 $1,066.70 / $1,400.87 / $1,400.87	Professional		$1,066.70	$1,400.87	$1,400.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $837.35 / $837.35 / $1,340.06	Facility		$837.35	$837.35	$1,340.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.27 / $611.27 / $1,173.41	Professional		$611.27	$611.27	$1,173.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,232.85 / $1,340.06 / $2,546.11	Professional		$1,232.85	$1,340.06	$2,546.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $945.94 / $945.94 / $945.94	Professional		$945.94	$945.94	$945.94
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $576.53 / $576.53 / $2,231.17	Facility		$576.53	$576.53	$2,231.17
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $524.41 / $662.39 / $1,006.06	Professional		$524.41	$662.39	$1,006.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $907.60 / $1,827.70 / $2,640.20	Professional		$907.60	$1,827.70	$2,640.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $837.35 / $837.35 / $1,340.06	Facility		$837.35	$837.35	$1,340.06
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $611.27 / $611.27 / $1,553.63	Professional		$611.27	$611.27	$1,553.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,001.55 / $1,333.37 / $1,333.37	Facility		$1,001.55	$1,333.37	$1,333.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,001.55 / $1,333.37 / $1,333.37	Professional		$1,001.55	$1,333.37	$1,333.37
United Facility/Professional Facility Modifier Low / Median / High Price $515.10 / $662.58 / $1,006.05	Facility		$515.10	$662.58	$1,006.05
United Facility/Professional Professional Modifier Low / Median / High Price $556.28 / $701.82 / $1,263.30	Professional		$556.28	$701.82	$1,263.30