Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.48 / $363.48 / $1,406.67	Facility		$363.48	$363.48	$1,406.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.48 / $425.35 / $524.34	Professional		$363.48	$425.35	$524.34
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 $672.52 / $883.21 / $883.21	Professional		$672.52	$883.21	$883.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.34 / $524.34 / $1,106.08	Facility		$524.34	$524.34	$1,106.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.77 / $382.77 / $979.71	Professional		$382.77	$382.77	$979.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,029.33 / $1,118.84 / $2,125.82	Professional		$1,029.33	$1,118.84	$2,125.82
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $662.41 / $690.01 / $706.57	Professional		$662.41	$690.01	$706.57
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $363.48 / $363.48 / $1,406.67	Facility		$363.48	$363.48	$1,406.67
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $363.48 / $425.35 / $723.09	Professional		$363.48	$425.35	$723.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $757.70 / $1,526.00 / $2,204.30	Professional		$757.70	$1,526.00	$2,204.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $524.34 / $524.34 / $1,106.08	Facility		$524.34	$524.34	$1,106.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $382.77 / $382.77 / $1,074.38	Professional		$382.77	$382.77	$1,074.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $631.47 / $840.65 / $840.65	Facility		$631.47	$840.65	$840.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $631.47 / $840.65 / $1,064.94	Professional		$631.47	$840.65	$1,064.94
United Facility/Professional Professional Modifier Low / Median / High Price $350.88 / $477.34 / $926.61	Professional		$350.88	$477.34	$926.61