Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.81 / $436.81 / $1,690.45	Facility		$436.81	$436.81	$1,690.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.36 / $501.87 / $587.07	Professional		$415.36	$501.87	$587.07
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 $808.19 / $1,061.39 / $1,061.39	Professional		$808.19	$1,061.39	$1,061.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $607.01 / $607.01 / $1,061.39	Facility		$607.01	$607.01	$1,061.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.12 / $443.12 / $929.38	Professional		$443.12	$443.12	$929.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $976.48 / $1,061.39 / $2,016.64	Professional		$976.48	$1,061.39	$2,016.64
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $716.69 / $716.69 / $716.69	Professional		$716.69	$716.69	$716.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $436.81 / $436.81 / $1,690.45	Facility		$436.81	$436.81	$1,690.45
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $415.36 / $511.16 / $790.62	Professional		$415.36	$511.16	$790.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $379.80 / $1,316.00 / $1,732.18	Professional		$379.80	$1,316.00	$1,732.18
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $607.01 / $607.01 / $1,061.39	Facility		$607.01	$607.01	$1,061.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $443.12 / $443.12 / $1,260.75	Professional		$443.12	$443.12	$1,260.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $758.84 / $1,010.24 / $1,010.24	Facility		$758.84	$1,010.24	$1,010.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $758.84 / $1,010.24 / $1,035.01	Professional		$758.84	$1,010.24	$1,035.01
United Facility/Professional Professional Modifier Low / Median / High Price $389.66 / $529.51 / $957.17	Professional		$389.66	$529.51	$957.17