Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $479.41 / $479.41 / $1,855.32	Facility		$479.41	$479.41	$1,855.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.23 / $530.41 / $608.58	Professional		$456.23	$530.41	$608.58
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 $887.02 / $1,164.90 / $1,164.90	Professional		$887.02	$1,164.90	$1,164.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $732.96 / $732.96 / $1,165.83	Facility		$732.96	$732.96	$1,165.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $535.05 / $535.05 / $1,313.63	Professional		$535.05	$535.05	$1,313.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,072.56 / $1,165.83 / $2,215.08	Professional		$1,072.56	$1,165.83	$2,215.08
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $786.60 / $786.60 / $786.60	Professional		$786.60	$786.60	$786.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $479.41 / $479.41 / $1,855.32	Facility		$479.41	$479.41	$1,855.32
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $456.23 / $550.82 / $735.01	Professional		$456.23	$550.82	$735.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $468.70 / $1,445.50 / $1,901.10	Professional		$468.70	$1,445.50	$1,901.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $732.96 / $732.96 / $1,165.83	Facility		$732.96	$732.96	$1,165.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $535.05 / $535.05 / $1,313.63	Professional		$535.05	$535.05	$1,313.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $832.85 / $1,108.77 / $1,108.77	Facility		$832.85	$1,108.77	$1,108.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $832.85 / $1,108.77 / $1,109.66	Professional		$832.85	$1,108.77	$1,109.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,173.99 / $1,381.17 / $1,657.40	Facility		$1,173.99	$1,381.17	$1,657.40
United Facility/Professional Professional Modifier Low / Median / High Price $428.16 / $583.61 / $1,017.79	Professional		$428.16	$583.61	$1,017.79