Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $460.97 / $460.97 / $1,783.95	Facility		$460.97	$460.97	$1,783.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.19 / $515.96 / $627.26	Professional		$454.19	$515.96	$627.26
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 $852.89 / $1,120.08 / $1,120.08	Professional		$852.89	$1,120.08	$1,120.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.26 / $627.26 / $1,325.66	Facility		$627.26	$627.26	$1,325.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.90 / $457.90 / $1,163.63	Professional		$457.90	$457.90	$1,163.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,227.43 / $1,334.16 / $2,534.90	Professional		$1,227.43	$1,334.16	$2,534.90
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $756.34 / $756.34 / $840.06	Professional		$756.34	$756.34	$840.06
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $460.97 / $460.97 / $1,783.95	Facility		$460.97	$460.97	$1,783.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $454.19 / $522.11 / $852.89	Professional		$454.19	$522.11	$852.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $903.60 / $1,736.90 / $2,628.50	Professional		$903.60	$1,736.90	$2,628.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $627.26 / $627.26 / $1,325.66	Facility		$627.26	$627.26	$1,325.66
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $457.90 / $457.90 / $1,163.63	Professional		$457.90	$457.90	$1,163.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $800.81 / $1,066.10 / $1,066.10	Facility		$800.81	$1,066.10	$1,066.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $800.81 / $1,066.10 / $1,269.86	Professional		$800.81	$1,066.10	$1,269.86
United Facility/Professional Facility Modifier Low / Median / High Price $385.87 / $496.34 / $578.79	Facility		$385.87	$496.34	$578.79
United Facility/Professional Professional Modifier Low / Median / High Price $419.75 / $558.79 / $978.64	Professional		$419.75	$558.79	$978.64