Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,015.31 / $1,015.31 / $3,929.25	Facility		$1,015.31	$1,015.31	$3,929.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $850.14 / $1,075.03 / $1,616.89	Professional		$850.14	$1,075.03	$1,616.89
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 $1,731.20 / $2,273.55 / $2,273.55	Professional		$1,731.20	$2,273.55	$2,273.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,599.98 / $1,599.98 / $2,172.39	Facility		$1,599.98	$1,599.98	$2,172.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,167.99 / $1,167.99 / $1,902.22	Professional		$1,167.99	$1,167.99	$1,902.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,998.60 / $2,172.39 / $4,127.54	Professional		$1,998.60	$2,172.39	$4,127.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,535.22 / $1,535.22 / $1,705.16	Professional		$1,535.22	$1,535.22	$1,705.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,015.31 / $1,015.31 / $3,929.25	Facility		$1,015.31	$1,015.31	$3,929.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $850.13 / $1,075.21 / $1,847.86	Professional		$850.13	$1,075.21	$1,847.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,471.50 / $2,962.90 / $4,280.00	Professional		$1,471.50	$2,962.90	$4,280.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,599.98 / $1,599.98 / $2,172.39	Facility		$1,599.98	$1,599.98	$2,172.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,167.99 / $1,167.99 / $2,867.25	Professional		$1,167.99	$1,167.99	$2,867.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,086.43 / $1,086.43 / $2,164.00	Facility		$1,086.43	$1,086.43	$2,164.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,086.43 / $2,164.00 / $2,207.28	Professional		$1,086.43	$2,164.00	$2,207.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,061.58 / $1,289.15 / $2,050.31	Professional		$1,061.58	$1,289.15	$2,050.31