Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.09 / $338.09 / $1,308.41	Facility		$338.09	$338.09	$1,308.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.22 / $388.44 / $521.92	Professional		$336.22	$388.44	$521.92
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 $625.53 / $821.49 / $821.49	Professional		$625.53	$821.49	$821.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.34 / $511.34 / $952.48	Facility		$511.34	$511.34	$952.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.28 / $373.28 / $834.03	Professional		$373.28	$373.28	$834.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $876.28 / $952.48 / $1,809.71	Professional		$876.28	$952.48	$1,809.71
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.12 / $616.12 / $616.12	Professional		$616.12	$616.12	$616.12
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $338.09 / $338.09 / $1,308.41	Facility		$338.09	$338.09	$1,308.41
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $336.22 / $394.26 / $600.50	Professional		$336.22	$394.26	$600.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $645.20 / $1,299.09 / $1,876.60	Professional		$645.20	$1,299.09	$1,876.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $511.34 / $511.34 / $952.48	Facility		$511.34	$511.34	$952.48
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $373.28 / $373.28 / $1,126.50	Professional		$373.28	$373.28	$1,126.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $587.33 / $781.91 / $781.91	Facility		$587.33	$781.91	$781.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $587.33 / $781.91 / $924.92	Professional		$587.33	$781.91	$924.92
United Facility/Professional Facility Modifier Low / Median / High Price $314.56 / $404.62 / $614.36	Facility		$314.56	$404.62	$614.36
United Facility/Professional Professional Modifier Low / Median / High Price $340.22 / $413.93 / $740.83	Professional		$340.22	$413.93	$740.83