Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $443.35 / $443.35 / $1,715.76	Facility		$443.35	$443.35	$1,715.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.68 / $490.52 / $595.87	Professional		$387.68	$490.52	$595.87
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 $820.30 / $1,077.28 / $1,077.28	Professional		$820.30	$1,077.28	$1,077.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.27 / $616.27 / $1,077.28	Facility		$616.27	$616.27	$1,077.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.88 / $449.88 / $943.30	Professional		$449.88	$449.88	$943.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $991.10 / $1,077.28 / $2,046.83	Professional		$991.10	$1,077.28	$2,046.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,984.48 / $3,984.48 / $3,984.48	Facility		$3,984.48	$3,984.48	$3,984.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $443.35 / $443.35 / $1,715.76	Facility		$443.35	$443.35	$1,715.76
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $387.68 / $509.38 / $722.35	Professional		$387.68	$509.38	$722.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,745.10 / $2,122.40 / $2,122.40	Professional		$1,745.10	$2,122.40	$2,122.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $616.27 / $616.27 / $1,077.28	Facility		$616.27	$616.27	$1,077.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $449.88 / $449.88 / $1,279.50	Professional		$449.88	$449.88	$1,279.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $941.38 / $1,025.36 / $1,025.36	Facility		$941.38	$1,025.36	$1,025.36
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $941.38 / $1,025.36 / $1,050.55	Professional		$941.38	$1,025.36	$1,050.55
United Facility/Professional Professional Modifier Low / Median / High Price $430.91 / $556.27 / $898.59	Professional		$430.91	$556.27	$898.59