Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.89 / $484.89 / $1,876.52	Facility		$484.89	$484.89	$1,876.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.89 / $567.41 / $763.53	Professional		$484.89	$567.41	$763.53
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 $897.15 / $1,178.21 / $1,178.21	Professional		$897.15	$1,178.21	$1,178.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.22 / $736.22 / $1,453.52	Facility		$736.22	$736.22	$1,453.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.44 / $537.44 / $1,272.75	Professional		$537.44	$537.44	$1,272.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,337.24 / $1,453.52 / $2,761.69	Professional		$1,337.24	$1,453.52	$2,761.69
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $795.58 / $795.58 / $883.66	Professional		$795.58	$795.58	$883.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $484.89 / $484.89 / $1,876.52	Facility		$484.89	$484.89	$1,876.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $484.89 / $567.41 / $1,876.52	Professional		$484.89	$567.41	$1,876.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $984.50 / $1,892.30 / $2,863.70	Professional		$984.50	$1,892.30	$2,863.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $736.22 / $736.22 / $1,453.52	Facility		$736.22	$736.22	$1,453.52
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $537.44 / $537.44 / $1,365.75	Professional		$537.44	$537.44	$1,365.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $842.38 / $1,121.44 / $1,121.44	Facility		$842.38	$1,121.44	$1,121.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $842.38 / $1,121.44 / $1,383.48	Professional		$842.38	$1,121.44	$1,383.48
United Facility/Professional Professional Modifier Low / Median / High Price $483.43 / $588.76 / $1,062.52	Professional		$483.43	$588.76	$1,062.52