Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $434.25 / $434.25 / $1,680.55	Facility		$434.25	$434.25	$1,680.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.21 / $498.93 / $612.05	Professional		$359.21	$498.93	$612.05
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 $803.46 / $1,055.16 / $1,055.16	Professional		$803.46	$1,055.16	$1,055.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $702.03 / $702.03 / $1,055.16	Facility		$702.03	$702.03	$1,055.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.48 / $512.48 / $923.94	Professional		$512.48	$512.48	$923.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $970.75 / $1,055.16 / $2,004.80	Professional		$970.75	$1,055.16	$2,004.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $791.37 / $844.13 / $844.13	Professional		$791.37	$844.13	$844.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $434.25 / $434.25 / $1,680.55	Facility		$434.25	$434.25	$1,680.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $359.21 / $508.17 / $697.36	Professional		$359.21	$508.17	$697.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $332.90 / $1,308.30 / $1,722.01	Professional		$332.90	$1,308.30	$1,722.01
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $702.03 / $702.03 / $1,055.16	Facility		$702.03	$702.03	$1,055.16
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $512.48 / $512.48 / $1,253.25	Professional		$512.48	$512.48	$1,253.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $678.92 / $1,004.32 / $1,004.32	Facility		$678.92	$1,004.32	$1,004.32
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $678.92 / $1,004.32 / $1,029.00	Professional		$678.92	$1,004.32	$1,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $371.23 / $526.41 / $893.71	Professional		$371.23	$526.41	$893.71