Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $752.69 / $752.69 / $2,912.91	Facility		$752.69	$752.69	$2,912.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $720.85 / $840.69 / $1,186.74	Professional		$720.85	$840.69	$1,186.74
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 $1,392.64 / $1,828.93 / $1,828.93	Professional		$1,392.64	$1,828.93	$1,828.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,186.93 / $1,186.93 / $1,842.00	Facility		$1,186.93	$1,186.93	$1,842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $866.46 / $866.46 / $1,612.93	Professional		$866.46	$866.46	$1,612.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,694.64 / $1,842.00 / $3,499.80	Professional		$1,694.64	$1,842.00	$3,499.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,371.70 / $1,371.70 / $1,371.70	Professional		$1,371.70	$1,371.70	$1,371.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $752.69 / $752.69 / $2,912.91	Facility		$752.69	$752.69	$2,912.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $720.85 / $880.81 / $1,237.28	Professional		$720.85	$880.81	$1,237.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $521.20 / $2,283.90 / $2,984.79	Professional		$521.20	$2,283.90	$2,984.79
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,186.93 / $1,186.93 / $1,842.00	Facility		$1,186.93	$1,186.93	$1,842.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $866.46 / $866.46 / $2,127.00	Professional		$866.46	$866.46	$2,127.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,307.60 / $1,740.80 / $1,740.80	Facility		$1,307.60	$1,740.80	$1,740.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,307.60 / $1,740.80 / $1,753.25	Professional		$1,307.60	$1,740.80	$1,753.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,193.78 / $1,193.78 / $1,193.78	Facility		$1,193.78	$1,193.78	$1,193.78
United Facility/Professional Professional Modifier Low / Median / High Price $749.04 / $921.56 / $1,649.34	Professional		$749.04	$921.56	$1,649.34