Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.12 / $575.12 / $2,225.71	Facility		$575.12	$575.12	$2,225.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $559.28 / $651.08 / $813.17	Professional		$559.28	$651.08	$813.17
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 $1,064.09 / $1,397.45 / $1,397.45	Professional		$1,064.09	$1,397.45	$1,397.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $830.86 / $830.86 / $1,429.17	Facility		$830.86	$830.86	$1,429.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.53 / $606.53 / $1,251.43	Professional		$606.53	$606.53	$1,251.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,314.84 / $1,429.17 / $2,715.42	Professional		$1,314.84	$1,429.17	$2,715.42
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,048.08 / $1,048.08 / $1,048.08	Professional		$1,048.08	$1,048.08	$1,048.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $575.12 / $575.12 / $2,225.71	Facility		$575.12	$575.12	$2,225.71
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $552.90 / $660.78 / $1,151.86	Professional		$552.90	$660.78	$1,151.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $968.00 / $1,949.20 / $2,815.70	Professional		$968.00	$1,949.20	$2,815.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $830.86 / $830.86 / $1,429.17	Facility		$830.86	$830.86	$1,429.17
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $606.53 / $606.53 / $1,539.38	Professional		$606.53	$606.53	$1,539.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $999.13 / $1,330.12 / $1,330.12	Facility		$999.13	$1,330.12	$1,330.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $999.13 / $1,330.12 / $1,360.30	Professional		$999.13	$1,330.12	$1,360.30
United Facility/Professional Facility Modifier Low / Median / High Price $876.64 / $876.64 / $876.64	Facility		$876.64	$876.64	$876.64
United Facility/Professional Professional Modifier Low / Median / High Price $543.72 / $697.18 / $1,217.51	Professional		$543.72	$697.18	$1,217.51