Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.43 / $891.43 / $3,449.83	Facility		$891.43	$891.43	$3,449.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.43 / $1,043.16 / $1,380.91	Professional		$891.43	$1,043.16	$1,380.91
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 $1,649.34 / $2,166.04 / $2,166.04	Professional		$1,649.34	$2,166.04	$2,166.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,306.07 / $1,306.07 / $2,737.55	Facility		$1,306.07	$1,306.07	$2,737.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $953.43 / $953.43 / $2,440.32	Professional		$953.43	$953.43	$2,440.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,563.96 / $2,786.92 / $5,295.15	Professional		$2,563.96	$2,786.92	$5,295.15
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,462.62 / $1,516.23 / $1,692.22	Professional		$1,462.62	$1,516.23	$1,692.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $891.43 / $3,449.83 / $6,016.02	Facility		$891.43	$3,449.83	$6,016.02
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $891.43 / $1,090.60 / $3,465.66	Professional		$891.43	$1,090.60	$3,465.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,887.70 / $3,801.00 / $5,490.70	Professional		$1,887.70	$3,801.00	$5,490.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,306.07 / $1,306.07 / $2,737.55	Facility		$1,306.07	$1,306.07	$2,737.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $953.43 / $953.43 / $2,589.75	Professional		$953.43	$953.43	$2,589.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,548.63 / $2,061.67 / $2,061.67	Facility		$1,548.63	$2,061.67	$2,061.67
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,548.63 / $2,061.67 / $2,652.63	Professional		$1,548.63	$2,061.67	$2,652.63
United Facility/Professional Professional Modifier Low / Median / High Price $874.00 / $1,091.42 / $1,892.51	Professional		$874.00	$1,091.42	$1,892.51